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Arizona 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
$130.56 / $290.80 / $394.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.44 / $225.80 / $365.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.62 / $82.56 / $140.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $130.40 / $163.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.06 / $73.20 / $91.51
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.81 / $106.81 / $106.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.57 / $278.35 / $579.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.25 / $106.62 / $183.07
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$419.33 / $419.33 / $419.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.93 / $316.44 / $3,391.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.96 / $99.97 / $632.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.62 / $220.90 / $422.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.61 / $99.97 / $163.15