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Nebraska rates for HCPCS A9524

Iodinine I-131 Iodinated Serum Albumin Diagnosticper 5 Microcuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $133.00 / $358.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $358.80 / $358.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.55 / $381.98 / $385.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.31 / $257.81 / $587.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $95.00 / $356.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $390.00 / $448.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.66 / $191.56 / $540.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.16 / $138.15 / $540.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $390.00 / $448.50