go back

Nebraska rates for HCPCS G0296

Counseling Visit To Discuss Need For Lung Cancer Screening (Ldct) Using Low Dose Ct Scan (Reinstated 01/01/16) Pet Imaging Full And Partial Ring Pet Scanner Only For Restaging Of Previously Treated Thyroid Cancer Of Follicular Cell Origin Following Negative I -131 Whole Body Scan (Deleted 4/1/2005)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $24.17 / $26.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $30.24 / $63.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.74 / $52.62 / $66.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.53 / $24.17 / $26.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $44.70 / $65.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $41.31 / $109.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $54.57 / $178.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.74 / $42.56 / $70.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $45.82 / $70.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $71.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $54.57 / $72.75