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Wyoming 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
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $100.00 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $616.60 / $616.60
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$234.42 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $331.13 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $151.36 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $812.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $173.78 / $288.40