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Alaska rates for HCPCS 75630

Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$287.43 / $287.43 / $287.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.80 / $275.14 / $495.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.76 / $90.82 / $316.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.85 / $523.44 / $550.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$146.08 / $269.88 / $340.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.45 / $454.14 / $1,045.66
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$224.00 / $271.44 / $791.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.00 / $678.60 / $1,075.04
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$311.25 / $373.95 / $619.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.30 / $562.79 / $1,073.71
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$247.24 / $415.50 / $619.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.96 / $591.09 / $1,186.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.62 / $283.41 / $674.08