go back

New Hampshire rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $66.07 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $69.18 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $69.18 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $104.71 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $91.20 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $107.15 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $141.25 / $426.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $120.23 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $107.15 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $575.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $89.13 / $158.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $109.65 / $295.12
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $48.98 / $48.98