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Arizona rates for HCPCS 75891

Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.16 / $174.56 / $218.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.30 / $59.30 / $59.30
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$240.42 / $240.42 / $240.42