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Nebraska rates for HCPCS G0219

PET imaging whole body; melanoma for noncovered indications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.16 / $1,990.00 / $2,505.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.16 / $199.16 / $1,130.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,402.58 / $4,439.51 / $8,656.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.63 / $1,088.63 / $1,360.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.41 / $117.41 / $378.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,414.07 / $2,464.44 / $2,464.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.15 / $2,349.03 / $2,464.44