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Nebraska rates for HCPCS A9539

Technetium Tc-99m Pentetate Diagnostic Per Studydose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $52.64 / $64.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.94 / $27.32 / $27.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $43.54 / $69.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $57.15 / $138.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $56.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $37.88 / $68.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.88 / $44.85 / $122.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $37.60 / $37.60