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Nebraska rates for HCPCS A9560

Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.66 / $130.01 / $193.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.66 / $89.66 / $248.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.00 / $96.90 / $97.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $154.69 / $241.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.66 / $152.15 / $420.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $150.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.85 / $157.87 / $242.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.22 / $158.63 / $250.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $100.00 / $112.08