go back

Nebraska rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.78 / $2,930.13 / $4,363.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,020.78 / $2,020.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.72 / $274.44 / $274.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.48 / $764.63 / $3,219.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.10 / $2,020.78 / $9,472.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,525.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.49 / $619.00 / $1,815.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.50 / $519.90 / $764.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,999.73 / $2,104.98 / $2,525.98