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New York 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
$74.65 / $123.80 / $212.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.33 / $205.79 / $418.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.62 / $85.11 / $163.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.75 / $174.84 / $507.75
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.98 / $98.78 / $200.98
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.25 / $135.10 / $233.35
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
$125.16 / $311.62 / $777.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.06 / $124.44 / $285.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.38 / $217.42 / $562.96
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.86 / $121.34 / $191.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.68 / $184.80 / $331.21
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.06 / $121.60 / $196.39
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.81 / $106.81 / $106.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $288.33 / $777.59
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.69 / $124.53 / $277.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.54 / $193.37 / $556.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.88 / $99.97 / $210.30
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.77 / $107.77 / $291.13
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.72 / $230.88 / $416.00
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.06 / $137.97 / $243.52