go back

Nebraska rates for HCPCS A9586

Florbetapir F18 Diagnostic Per Study Dose Up Tomillicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,743.10 / $4,800.43 / $9,519.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,743.10 / $2,743.10 / $2,743.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,472.50 / $2,472.50 / $2,472.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,839.38 / $2,958.94 / $2,988.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $4,498.64 / $7,651.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.62 / $3,428.88 / $15,144.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.40 / $2,857.40 / $4,286.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,821.26 / $4,829.66 / $6,823.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,744.73 / $4,829.66 / $7,661.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.53 / $2,857.40 / $3,428.88