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Minnesota 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
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $91.20 / $229.09
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.07 / $75.86 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $562.34
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $223.87 / $331.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.86 / $288.40 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $165.96 / $275.42
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $316.23 / $616.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $363.08
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $134.90 / $208.93
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$416.87 / $416.87 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $331.13 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $158.49 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $309.03 / $575.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $147.91 / $288.40