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Arizona rates for HCPCS 75635

Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.58 / $216.74 / $451.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.99 / $414.15 / $648.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.64 / $121.89 / $272.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.48 / $309.77 / $385.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $364.15 / $411.64
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.74 / $129.24 / $207.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.24 / $330.56 / $433.86
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.55 / $111.48 / $139.35
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.70 / $219.08 / $273.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.28 / $128.28 / $128.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.00 / $587.38 / $952.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.84 / $136.83 / $240.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.22 / $430.94 / $721.23
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,048.24 / $1,048.24 / $1,048.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.39 / $561.41 / $4,801.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.89 / $116.66 / $1,632.94
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.76 / $462.53 / $3,601.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.67 / $499.60 / $848.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.89 / $106.07 / $256.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.89 / $395.83 / $653.22