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Texas 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
$58.91 / $77.53 / $119.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $149.84 / $281.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.34 / $81.34 / $136.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.71 / $70.52 / $114.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $130.93 / $214.44
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.72 / $151.72 / $247.00
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.25 / $93.34 / $94.51
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
$128.71 / $217.66 / $625.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.81 / $101.08 / $184.05
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.57 / $249.78 / $360.16
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.48 / $147.84 / $358.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.78 / $108.53 / $322.42
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.81 / $106.81 / $106.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.22 / $241.85 / $519.12
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.81 / $99.56 / $177.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.53 / $190.95 / $422.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.55 / $94.97 / $155.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.19 / $146.53 / $204.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.47 / $88.16 / $120.96