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Nebraska rates for HCPCS A9562

Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.08 / $1,118.74 / $1,419.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.78 / $639.28 / $1,395.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.50 / $384.50 / $384.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.47 / $713.13 / $713.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.38 / $1,065.47 / $1,806.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.63 / $970.90 / $4,203.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $1,324.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.11 / $1,152.34 / $1,806.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.73 / $1,181.57 / $1,869.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.08 / $883.24 / $929.73