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Wisconsin rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Facilitymedian $148 · 10th–90th $95$3240%10%20%10th90th$148Professionalmedian $120 · 10th–90th $56$3240%5%10th90th$120$50.0$100.0$200.0$500.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $72.44 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $81.28 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $223.87 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $95.50 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $109.65 / $323.59
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $194.98 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $398.11 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $165.96 / $263.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $213.80 / $263.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $269.15 / $371.54
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $141.25 / $177.83
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $128.82 / $204.17
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $331.13 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $125.89 / $630.96
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $177.83 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $173.78
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $302.00 / $457.09
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $120.23 / $194.98
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $177.83 / $275.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $316.23 / $831.76
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $416.87 / $416.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $1,778.28 / $3,162.28
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $331.13 / $630.96
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $1,584.89 / $2,884.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $707.95 / $870.96
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $151.36 / $302.00
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $173.78 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $112.20 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $131.83 / $426.58