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Nebraska rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.00 / $1,155.00 / $1,155.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $924.00 / $4,736.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.66 / $981.75 / $1,199.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.10 / $1,050.00 / $4,331.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,155.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.92 / $1,582.96 / $2,254.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.92 / $1,110.92 / $1,110.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.38 / $962.50 / $1,155.00