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Arizona rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.71 / $226.70 / $283.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.90 / $194.27 / $291.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.40 / $55.25 / $107.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.16 / $144.61 / $209.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $96.70 / $96.70
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.22 / $41.22 / $53.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.22 / $105.39 / $131.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.08 / $52.66 / $65.83
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.14 / $52.73 / $65.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.09 / $77.09 / $77.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.76 / $216.72 / $481.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.82 / $69.06 / $117.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.90 / $130.52 / $409.66
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$302.75 / $302.75 / $302.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.99 / $259.42 / $3,098.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.34 / $71.81 / $636.41
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.65 / $149.75 / $2,808.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.25 / $188.15 / $374.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.44 / $68.05 / $105.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.65 / $107.74 / $319.11