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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

Facilitymedian $501 · 10th–90th $155–$1,0720%10%10th90th$501Professionalmedian $170 · 10th–90th $135–$2240%20%10th90th$170$200.0$500.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $169.82 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $213.80 / $213.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $257.04 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $1,071.52 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $302.00 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $457.09 / $524.81