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Alaska rates for HCPCS 75635

Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $363 · 10th–90th $363$3630%50%100%$363Professionalmedian $302 · 10th–90th $112$1,1480%5%10th90th$302$100.0$200.0$500.0$1.0K$2.0K$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
Facility
Modifier
26
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $363.08 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $134.90 / $416.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $229.09 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $912.01 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $218.78 / $389.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $691.83 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,047.13 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $331.13 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $758.58 / $1,318.26
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,698.24 / $2,511.89
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $446.68 / $741.31
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$954.99 / $1,258.93 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,047.13 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $218.78 / $380.19
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $676.08 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $1,096.48 / $3,467.37
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $331.13 / $1,096.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $758.58 / $2,398.83