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Nebraska rates for HCPCS A9536

Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,960.00 / $2,418.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,120.00 / $1,120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.74 / $719.73 / $719.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $1,163.03 / $1,842.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $2,128.00 / $4,242.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $2,100.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.64 / $1,163.03 / $1,788.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.64 / $1,169.54 / $1,842.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.00 / $1,400.00 / $1,400.00