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North Carolina 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
$46.54 / $58.28 / $88.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.30 / $59.30 / $59.30
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.00 / $86.68 / $161.84
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.03 / $251.23 / $251.23