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North Dakota 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
$96.44 / $96.44 / $155.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.65 / $169.87 / $275.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.76 / $86.92 / $109.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.14 / $379.74 / $396.99
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$182.13 / $224.76 / $234.93
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
$163.44 / $323.11 / $702.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.89 / $163.41 / $229.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.67 / $339.40 / $3,391.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.97 / $176.06 / $632.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.67 / $317.67 / $535.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.66 / $173.92 / $245.29