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Nebraska rates for HCPCS A9557

Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,519.67 / $6,159.42 / $7,600.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,519.67 / $3,519.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.82 / $2,496.69 / $2,521.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.13 / $1,541.58 / $5,165.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.51 / $3,519.67 / $16,017.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,399.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.25 / $1,128.27 / $3,379.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.25 / $713.50 / $3,379.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,483.01 / $3,666.33 / $4,399.59