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California rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Facilitymedian $170 · 10th–90th $52$4170%20%10th90th$170Professionalmedian $138 · 10th–90th $52$3630%5%10th90th$138$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $102.33 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $66.07 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $144.54 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $66.07 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $316.23 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $102.33 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $223.87 / $501.19
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $588.84
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $79.43 / $162.18
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $239.88 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.60 / $77.62 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $229.09 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $74.13 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $151.36 / $537.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $208.93
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $70.79 / $95.50
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $83.18 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $147.91 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $83.18 / $134.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $87.10 / $158.49
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $70.79 / $147.91
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $239.88 / $602.56
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $70.79 / $131.83
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $154.88 / $588.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $177.83 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $72.44 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $102.33 / $380.19