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Nebraska rates for HCPCS A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.90 / $790.80 / $1,366.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $695.90 / $695.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.65 / $675.97 / $682.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.79 / $799.73 / $1,618.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.64 / $790.80 / $2,965.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $255.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.71 / $835.85 / $1,618.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.13 / $1,103.33 / $1,618.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $85.80 / $255.18