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Pennsylvania 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
$50.25 / $67.11 / $160.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.30 / $59.30 / $59.30
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.25 / $93.97 / $164.32
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.25 / $59.30 / $59.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.21 / $51.21 / $57.34