go back

Maine rates for HCPCS 75630

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.47 / $225.80 / $253.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.62 / $82.56 / $140.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.35 / $216.07 / $298.85
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.60 / $123.38 / $175.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.70 / $299.70 / $642.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.82 / $130.88 / $214.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.91 / $232.14 / $418.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.18 / $137.40 / $247.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.16 / $225.80 / $335.67
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.76 / $93.73 / $202.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.66 / $235.35 / $426.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.76 / $124.67 / $243.25