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Delaware rates for HCPCS 75774

Angrph Slctv Ea Vsl Studied After Basic Xm Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.54 / $59.54 / $113.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.90 / $145.06 / $179.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $31.59 / $46.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.52 / $129.36 / $161.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.54 / $161.02 / $524.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.70 / $23.89 / $77.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.78 / $94.28 / $499.40
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.42 / $75.42 / $79.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.52 / $210.32 / $620.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.35 / $42.33 / $108.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.52 / $132.31 / $599.64