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Tennessee 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
$79.29 / $79.29 / $445.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.47 / $148.34 / $250.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.63 / $82.56 / $126.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.93 / $126.93 / $145.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.74 / $271.60 / $427.08
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.37 / $134.00 / $212.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.77 / $101.77 / $106.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.06 / $263.14 / $697.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.01 / $123.12 / $207.21
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.15 / $445.22 / $445.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,391.09 / $3,492.82 / $3,492.82
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$632.75 / $632.75 / $759.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.35 / $249.75 / $549.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.15 / $109.97 / $198.86