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Georgia 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
$44.39 / $107.50 / $231.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.30 / $59.30 / $59.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.03 / $87.73 / $212.90