go back

West Virginia 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
$92.95 / $102.24 / $102.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.88 / $162.55 / $275.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.76 / $82.56 / $199.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.27 / $64.27 / $64.27
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 / $339.02 / $2,488.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.51 / $131.16 / $431.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.71 / $292.08 / $848.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.87 / $113.14 / $231.88