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Nebraska rates for HCPCS A9538

Technetium Tc-99m Pyrophosphate Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.49 / $107.61 / $163.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $61.49 / $61.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $40.53 / $40.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.88 / $54.73 / $89.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $76.86 / $288.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $76.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.78 / $58.24 / $89.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.13 / $59.02 / $103.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $64.05 / $76.86