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Nebraska rates for HCPCS A9540

Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 mCi

Facilitymedian $380 · 10th–90th $58–$5750%20%10th90th$380Professionalmedian $33 · 10th–90th $28–$2570%20%40%10th90th$33$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $75.86 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.92 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $134.90 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $44.67 / $72.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.20 / $36.31