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Utah 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
$99.71 / $99.71 / $99.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.21 / $250.13 / $323.85
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.76 / $96.13 / $386.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.94 / $272.95 / $550.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.90 / $121.62 / $202.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.30 / $92.72 / $132.86
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5,208.22 / $5,208.22 / $5,208.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.99 / $293.73 / $358.75
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.82 / $167.50 / $194.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.62 / $212.51 / $364.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.77 / $99.97 / $164.95