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Georgia 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
$56.29 / $133.02 / $289.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.83 / $74.83 / $74.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.15 / $111.83 / $271.36