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Delaware 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
$104.71 / $104.71 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $162.18 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $91.20 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $251.19 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $102.33 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $257.04 / $676.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $100.00 / $190.55