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Nebraska rates for HCPCS A9555

Rubidium Rb-82, diagnostic, per study dose, up to 60 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.98 / $658.53 / $812.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.30 / $376.30 / $515.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.77 / $419.76 / $419.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.69 / $617.63 / $1,036.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.38 / $376.30 / $2,474.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $520.75 / $781.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.48 / $608.61 / $935.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.30 / $678.30 / $1,108.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.71 / $520.75 / $520.75