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Nebraska rates for HCPCS A9540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $61.32 / $408.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $259.69
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
$33.00 / $39.72 / $67.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $135.00 / $413.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $44.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.03 / $40.79 / $57.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.03 / $44.16 / $81.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $30.00 / $36.00