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Missouri 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
$81.34 / $129.78 / $213.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.65 / $170.81 / $299.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.29 / $89.45 / $229.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.28 / $207.18 / $628.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.12 / $111.70 / $191.27
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
$127.39 / $252.58 / $725.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.11 / $122.63 / $204.09
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.15 / $419.33 / $419.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.35 / $295.10 / $3,391.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.99 / $134.22 / $632.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.91 / $224.14 / $506.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.75 / $109.01 / $174.94