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Nebraska rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.08 / $1,062.59 / $1,835.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $850.08 / $850.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.31 / $164.53 / $164.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.89 / $458.44 / $1,462.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.53 / $715.29 / $3,795.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $1,062.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.13 / $372.00 / $1,430.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.14 / $311.70 / $458.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.23 / $885.50 / $1,062.59