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Oregon rates for HCPCS 36253

Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $4,786.30 / $8,709.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $4,786.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,819.70 / $4,786.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,801.89 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,819.70 / $4,677.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $17,378.01 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $20,892.96 / $26,302.68