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Nebraska rates for HCPCS A9554

Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 mcCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $45.00 / $77.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $35.67 / $36.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $43.59 / $177.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $45.00 / $168.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $56.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.40 / $58.23 / $268.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.63 / $174.74 / $307.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.63 / $37.50 / $45.00