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Missouri 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
$45.45 / $91.13 / $118.07
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
$123.03 / $240.42 / $240.42