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Nebraska rates for HCPCS Q9966

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $33.36 / $91.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.18 / $29.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.51 / $186.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.50 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.49 / $0.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.77 / $29.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.45 / $0.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.49 / $0.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.49 / $0.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.67 / $0.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.88