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Nebraska rates for HCPCS A9604

Sm 153 Lexidronam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,631.57 / $19,539.50 / $19,539.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,631.57 / $15,631.57 / $15,631.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,852.49 / $31,121.48 / $60,684.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,157.73 / $3,323.92 / $3,323.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,201.13 / $5,251.41 / $9,260.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.91 / $15,631.57 / $73,272.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $19,539.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,487.31 / $6,472.37 / $10,140.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,509.21 / $6,055.82 / $9,260.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,468.74 / $16,282.88 / $19,539.46