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Nebraska rates for HCPCS A9567

Technetium Tc-99mpentette Diagnostic Aerosol P Er Study Dose Up To 75 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.96 / $29.68 / $36.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.96 / $16.96 / $16.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $18.92 / $18.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $33.46 / $48.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.96 / $54.78 / $352.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $30.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.54 / $30.57 / $52.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.23 / $34.46 / $52.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $20.38 / $20.38