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Nebraska rates for HCPCS G6002

Stereoscopic X-Ray Guidance For Localization Of Target Volume For The Delivery Of Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.59 / $19.59 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.48 / $69.48 / $405.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.59 / $38.20 / $78.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.90 / $49.90 / $297.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.15 / $165.15 / $165.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.75 / $24.75 / $36.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.94 / $138.90 / $142.37
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.10 / $38.57 / $39.53
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.84 / $100.31 / $102.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.25 / $115.21 / $181.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.25 / $32.72 / $51.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.00 / $82.51 / $129.94
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.06 / $104.06 / $104.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.48 / $140.69 / $468.55
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.03 / $39.15 / $126.27
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.41 / $102.39 / $342.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.80 / $118.09 / $195.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $57.03 / $138.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.52 / $139.94 / $175.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.03 / $39.08 / $50.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.41 / $101.41 / $125.73