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Nebraska rates for HCPCS G0204

Dx mammo incl cad bi

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.25 / $179.25 / $224.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.20 / $532.20 / $532.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.00 / $742.51 / $742.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.81 / $220.43 / $242.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $220.43 / $324.67