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Nebraska rates for HCPCS Q9969

Tc-99m from nonhighly enriched uranium source, full cost recovery add-on, per study dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $3.72 / $6.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.11 / $165.85 / $323.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $10.88 / $13.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $3.13 / $10.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02