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Nebraska rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.46 / $5,760.72 / $8,768.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.46 / $4,493.07 / $8,436.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $69.38 / $86.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.09 / $101.35 / $343.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $57.78 / $86.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.66 / $5,247.00 / $7,473.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $66.66 / $66.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $57.78 / $69.33