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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
$88.54 / $88.54 / $89.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.87 / $191.16 / $279.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.73 / $79.12 / $103.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.00 / $658.00 / $658.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$236.00 / $387.00 / $387.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.77 / $316.94 / $504.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.10 / $144.08 / $230.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.77 / $335.03 / $808.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.14 / $174.51 / $291.51