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New York rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.04 / $79.45 / $147.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.90 / $190.55 / $343.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.04 / $60.19 / $142.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.62 / $99.47 / $218.61
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.92 / $55.92 / $55.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.84 / $143.59 / $456.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.78 / $71.18 / $131.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.06 / $68.06 / $284.24
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.52 / $96.32 / $188.85
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
$101.61 / $240.89 / $701.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.31 / $86.06 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.71 / $149.52 / $566.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $176.56 / $513.13
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.30 / $87.30 / $139.38
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.87 / $78.23 / $125.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.49 / $148.36 / $265.88
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.59 / $87.21 / $140.66
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.27 / $85.71 / $125.22
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.65 / $96.25 / $159.81
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.09 / $77.09 / $77.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.25 / $232.53 / $676.42
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.82 / $86.22 / $194.69
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.28 / $112.04 / $474.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.36 / $162.31 / $508.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.50 / $70.65 / $151.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.53 / $74.93 / $233.39
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.19 / $77.19 / $183.10
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.61 / $184.67 / $333.93
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.59 / $98.96 / $174.42
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.63 / $88.27 / $157.63