go back

Rhode Island rates for HCPCS 75630

Aortography Abdl Bi Iliofem Low Extrem Cath Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$590.29 / $590.29 / $590.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.49 / $225.80 / $250.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.68 / $77.76 / $87.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.71 / $193.71 / $364.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.54 / $113.63 / $163.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.16 / $292.30 / $435.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.33 / $138.25 / $197.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.59 / $260.70 / $625.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.91 / $114.42 / $195.08