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New Hampshire rates for HCPCS 75630

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

Facilitymedian $339 · 10th–90th $89–$3390%50%10th$339Professionalmedian $162 · 10th–90th $83–$3310%5%10th90th$162$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $162.18 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $89.13 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $245.47 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $144.54 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $144.54 / $245.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $281.84 / $436.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $165.96 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $316.23 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $131.83 / $245.47
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $74.13 / $89.13