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Nebraska rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.91 / $478.91 / $598.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $478.91 / $508.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.75 / $564.02 / $975.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.14 / $804.38 / $897.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.91 / $747.93 / $933.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $598.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.35 / $802.78 / $947.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.14 / $599.14 / $599.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.93 / $498.87 / $598.64