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Arizona rates for HCPCS 75801

Lymphangiography, extremity only, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.96 / $140.22 / $175.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.31 / $48.31 / $48.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$193.75 / $193.75 / $193.75