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Montana rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Facilitymedian $105 · 10th–90th $105$1290%20%40%90th$105Professionalmedian $129 · 10th–90th $56$2690%5%10%10th90th$129$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $208.93 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $75.86 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $107.15 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $199.53
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $288.40 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $93.33 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $141.25 / $389.05
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $223.87 / $331.13
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $128.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $371.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $93.33 / $154.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $107.15 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $72.44 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $109.65 / $316.23