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Nebraska rates for HCPCS Q9964

High Osmolar Contrast Material 400 Or Greater Mg/Ml Iodine Concentration Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.48 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.33 / $186.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.33 / $0.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.33 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.04 / $1.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.36 / $0.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.39