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Pennsylvania rates for HCPCS 75831

Venography Renal Unilateral Selective Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.97 / $65.47 / $157.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.98 / $58.98 / $58.98
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.97 / $77.29 / $159.94
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.88 / $58.98 / $58.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.19 / $51.19 / $62.00