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Nebraska rates for HCPCS Q9953

Injection, iron-based magnetic resonance contrast agent, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $24.54 / $30.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.02 / $14.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.23 / $70.25 / $186.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $70.25 / $70.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $64.50 / $80.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $23.13 / $30.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.59 / $62.05 / $68.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.99 / $87.00 / $99.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $64.59 / $96.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $84.75 / $91.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $62.05 / $62.05