go back

Nebraska rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.63 / $268.91 / $453.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.83 / $194.27 / $341.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.65 / $61.36 / $270.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.47 / $110.52 / $402.27
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$143.83 / $143.83 / $143.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.50 / $230.36 / $241.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.09 / $120.88 / $123.90
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.43 / $109.48 / $114.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$356.70 / $356.70 / $356.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.26 / $274.20 / $425.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.38 / $141.51 / $180.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.31 / $130.03 / $223.95
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
$154.79 / $257.61 / $3,098.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.47 / $128.52 / $636.41
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.70 / $139.30 / $2,808.09
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$176.19 / $181.32 / $356.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.40 / $292.67 / $606.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.06 / $107.42 / $217.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.79 / $251.53 / $405.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.09 / $127.01 / $161.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.70 / $123.01 / $298.97