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Arizona rates for HCPCS 75887

Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.02 / $220.19 / $275.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.83 / $74.83 / $74.83
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$303.95 / $303.95 / $303.95