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Nebraska rates for HCPCS Q9950

Injection Sulfur Hexafluoride Lipid Microspheres Per Ml(Reinstated 01/01/2016) Low Osmolar Contrast Material 350-399 Mg/Ml Iodine Concentration Per Ml (Del 12/31/07)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.45 / $65.91 / $564.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $63.61 / $152.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $21.05 / $222.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.84 / $21.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $19.09 / $23.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.91 / $42.36 / $92.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $20.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.08 / $22.47 / $27.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.50 / $24.28 / $47.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $18.59 / $27.89