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Arizona 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 $398 · 10th–90th $166$5370%10%20%10th90th$398Professionalmedian $257 · 10th–90th $110$6310%5%10th90th$257$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $398.11 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $158.49 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $239.88 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $91.20 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $416.87 / $660.69
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $138.04 / $223.87
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $275.42 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $128.82 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $128.82 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $389.05 / $812.83
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$812.83 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $562.34 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $123.03 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $416.87 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $114.82 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $380.19 / $645.65