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Nebraska rates for HCPCS D0250

extra-oral - 2D projection radiographic image created using a stationary radiation source, and detector

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $18.48 / $18.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $18.48 / $22.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.55 / $103.74 / $194.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $39.78 / $39.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $31.23 / $51.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.42 / $283.32 / $283.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.88 / $35.42 / $47.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.79 / $35.42 / $54.30