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Nebraska rates for HCPCS D0367

cone beam CT capture and interpretation with field of view of both jaws; with or without cranium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $645.65 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $213.80 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $257.04 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $1,071.52 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $457.09 / $524.81