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Texas rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Facilitymedian $85 · 10th–90th $46$4170%10%20%10th90th$85Professionalmedian $91 · 10th–90th $49$2240%5%10%10th90th$91$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $54.95 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $128.82 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $60.26 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $63.10 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $91.20 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $64.57 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $102.33 / $147.91
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $190.55 / $204.17
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $64.57 / $66.07
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
$104.71 / $177.83 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $69.18 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $102.33 / $436.52
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
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $63.10 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $158.49 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $69.18 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $75.86 / $186.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $102.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.60 / $77.62 / $112.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $436.52
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $67.61 / $114.82
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $91.20 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $158.49 / $371.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $66.07 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $83.18 / $316.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $128.82 / $151.36
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $69.18 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $58.88 / $70.79