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Nebraska rates for HCPCS A9566

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

Facilitymedian $417 · 10th–90th $380–$6760%20%40%10th90th$417Professionalmedian $204 · 10th–90th $204–$2040%50%$204$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $977.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $389.05