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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
$57.54 / $64.57 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $501.19 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.92 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $39.81 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $54.95 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $44.67 / $75.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $29.51 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $36.31