go back

Missouri rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Facilitymedian $95 · 10th–90th $65$1910%10%20%10th90th$95Professionalmedian $95 · 10th–90th $52$2400%5%10%10th90th$95$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
$64.57 / $95.50 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $138.04 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $66.07 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $64.57 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $54.95 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $158.49 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $70.79 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $89.13 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $138.04 / $204.17
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $74.13 / $95.50
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $64.57 / $112.20
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
$109.65 / $199.53 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $79.43 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $107.15 / $467.74
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$154.88 / $302.00 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $251.19 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $91.20 / $630.96
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $128.82 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $72.44 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $83.18 / $323.59