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Nebraska rates for HCPCS Q9967

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $184.80 / $939.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $25.40 / $64.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $21.00 / $31.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.17 / $186.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.91 / $8.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $1.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.22 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.56