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North Dakota rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.47 / $68.47 / $110.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $137.94 / $238.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.65 / $61.36 / $100.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.15 / $69.47 / $180.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.23 / $305.08 / $319.95
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.50 / $162.29 / $169.62
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.72 / $142.81 / $149.76
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
$131.38 / $257.50 / $606.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.08 / $111.51 / $152.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.46 / $125.25 / $539.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.66 / $273.94 / $3,098.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.09 / $124.86 / $636.41
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.06 / $155.83 / $2,808.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $254.65 / $438.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.23 / $124.86 / $169.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.90 / $139.43 / $215.92