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Alabama rates for HCPCS 75625

Aortography Abdominal Serialography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.96 / $90.81 / $90.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.47 / $166.33 / $194.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.65 / $60.36 / $90.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.80 / $75.52 / $144.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.20 / $274.25 / $323.62
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.56 / $103.50 / $122.13
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.65 / $170.75 / $201.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.73 / $63.73 / $64.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.57 / $173.00 / $434.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.60 / $69.58 / $161.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.73 / $110.33 / $336.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.10 / $134.40 / $464.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.40 / $68.23 / $86.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.63 / $69.65 / $395.74