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Indiana 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
$85.11 / $134.90 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $91.20 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $85.11 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $489.78 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $112.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $275.42 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $120.23 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $223.87 / $645.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $100.00 / $162.18