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Nebraska rates for HCPCS A9541

Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.44 / $363.44 / $546.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.20 / $147.19 / $256.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.50 / $110.50 / $110.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.66 / $401.89 / $405.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.56 / $206.72 / $832.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.00 / $247.50 / $1,203.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $751.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.36 / $406.71 / $699.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $149.22 / $699.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $267.37 / $401.06