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Nebraska rates for HCPCS Q9964

High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.33 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.32 / $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 / $0.39 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.36 / $0.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39