go back

Pennsylvania 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
$91.74 / $120.18 / $293.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.47 / $161.66 / $327.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.63 / $84.12 / $197.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.74 / $250.00 / $994.51
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.04 / $139.35 / $212.05
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
$127.39 / $281.81 / $679.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.04 / $110.46 / $174.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.24 / $234.39 / $508.50
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.34 / $121.34 / $191.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.66 / $166.66 / $176.30
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.74 / $164.24 / $299.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.84 / $201.74 / $527.19
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.76 / $91.74 / $207.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.20 / $742.40 / $797.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.21 / $106.81 / $106.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.84 / $272.42 / $661.79
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.55 / $110.46 / $174.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.62 / $91.62 / $142.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.33 / $152.63 / $590.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.65 / $92.29 / $142.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.76 / $217.58 / $521.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.95 / $108.22 / $182.74