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Nebraska rates for HCPCS A9566

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

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