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North Carolina 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
$84.12 / $91.17 / $138.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.44 / $145.88 / $275.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.76 / $84.12 / $184.37
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.18 / $132.18 / $132.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.88 / $225.88 / $225.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.60 / $187.64 / $246.05
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
$173.51 / $388.83 / $888.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.52 / $140.41 / $249.59
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.46 / $149.00 / $266.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $111.00 / $215.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.46 / $149.00 / $343.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $346.60 / $993.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.24 / $303.75 / $515.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.02 / $119.12 / $224.45
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.15 / $445.22 / $445.22
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,492.82 / $3,492.82 / $3,492.82
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$632.75 / $632.75 / $759.53