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Nebraska rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $21.38 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $13.18 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.88 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $15.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $12.59 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.18 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59