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Nebraska rates for HCPCS C8937

Computer-aided detection, including computer algorithm analysis of breast MRI image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)

Facilitymedian $200 · 10th–90th $1$7080%10%20%10th90th$200Professionalmedian $347 · 10th–90th $347$3470%50%$347$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.85
Typical High
$1.00
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$83.18