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Utah rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Facilitymedian $65 · 10th–90th $65$650%50%$65Professionalmedian $110 · 10th–90th $52$2570%10%10th90th$110$20.0$100.0$500.0$2.0K

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
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $181.97 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $66.07 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $91.20 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $81.28 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $123.03 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $354.81
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $109.65 / $134.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $100.00 / $194.98
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $331.13
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $107.15 / $162.18
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $89.13 / $158.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $173.78 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $66.07 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $95.50 / $316.23