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Tennessee rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.29 / $56.30 / $280.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $127.45 / $216.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.65 / $58.24 / $100.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.47 / $66.75 / $163.68
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.47 / $97.74 / $97.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.23 / $216.16 / $346.60
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.63 / $87.76 / $154.01
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.01 / $130.57 / $249.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.18 / $64.18 / $77.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.18 / $213.86 / $632.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.41 / $80.72 / $136.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.10 / $116.01 / $545.11
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.03 / $317.02 / $317.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,098.01 / $3,190.96 / $3,190.96
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$636.41 / $636.41 / $636.41
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,808.09 / $2,892.33 / $2,892.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.59 / $205.90 / $524.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.77 / $74.76 / $136.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.30 / $101.71 / $293.99