go back

Massachusetts rates for HCPCS 75625

Aortography Abdominal Serialography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.79 / $40.79 / $151.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.61 / $194.27 / $238.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.04 / $56.52 / $156.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.63 / $110.52 / $187.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$152.75 / $160.44 / $317.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.30 / $302.38 / $3,190.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.37 / $95.59 / $636.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.61 / $146.86 / $2,892.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.38 / $61.30 / $95.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.76 / $124.97 / $166.08
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.64 / $122.39 / $129.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.91 / $278.58 / $594.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.99 / $98.21 / $193.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.90 / $149.75 / $439.26
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $111.59 / $225.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.71 / $316.75 / $432.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.92 / $164.99 / $214.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.09 / $143.78 / $188.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.61 / $112.91 / $197.06
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.03 / $317.02 / $317.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.58 / $403.01 / $3,190.96
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.61 / $102.86 / $636.41
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.90 / $175.95 / $2,892.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.34 / $270.39 / $641.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.37 / $87.62 / $161.77
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.65 / $104.48 / $489.84