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Arizona rates for HCPCS 75872

Venography, epidural, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.05 / $129.80 / $306.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $204.22 / $336.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.87 / $109.57 / $136.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.15 / $1,261.56 / $1,776.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.59 / $230.61 / $573.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.75 / $189.78 / $792.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.91 / $284.72 / $3,555.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.13 / $197.22 / $390.75