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California 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 $214 · 10th–90th $110$7080%10%20%10th90th$214Professionalmedian $309 · 10th–90th $112$9330%5%10th90th$309$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
$109.65 / $162.18 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $457.09 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $173.78 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $316.23 / $758.58
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $177.83 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $630.96 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $151.36 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $457.09 / $977.24
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $616.60 / $1,202.26
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $190.55 / $354.81
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $416.87 / $831.76
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
$288.40 / $616.60 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $138.04 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $467.74 / $933.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $380.19 / $512.86
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $125.89 / $169.82
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $251.19 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $512.86 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $144.54 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $446.68 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $131.83 / $478.63
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $676.08 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $125.89 / $229.09
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $436.52 / $891.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $489.78 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $120.23 / $380.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $371.54 / $870.96