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Alaska rates for HCPCS 75630

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

Facilitymedian $295 · 10th–90th $295–$2950%50%100%$295Professionalmedian $162 · 10th–90th $79–$5010%5%10th90th$162$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $181.97 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $95.50 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $501.19 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $154.88 / $316.23
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $457.09 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $275.42 / $676.08
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $1,071.52
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$309.03 / $371.54 / $562.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $389.05 / $524.81
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $117.49 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $478.63 / $1,174.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $275.42 / $549.54