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Nebraska rates for HCPCS A9699

Radiopharmaceutical, therapeutic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,630.42 / $37,630.42 / $37,630.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37,630.42 / $37,630.42 / $37,630.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.69 / $77.89 / $151.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39,878.66 / $41,977.55 / $41,977.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,669.69 / $103,669.28 / $116,938.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,630.42 / $71,497.80 / $247,449.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,831.58 / $303,364.75 / $303,364.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,669.69 / $58,200.16 / $116,938.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48,833.46 / $67,831.58 / $116,938.94