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Hawaii 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 $126 · 10th–90th $112$1480%20%40%10th90th$126Professionalmedian $275 · 10th–90th $110$8510%5%10th90th$275$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
$112.20 / $125.89 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $776.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $602.56 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $141.25 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $436.52 / $630.96
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,023.29 / $1,148.15
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $151.36 / $158.49
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $794.33 / $831.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $380.19 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $131.83 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $245.47 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $851.14 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $151.36 / $912.01
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $660.69 / $1,023.29
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $977.24
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $165.96 / $245.47
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $478.63 / $724.44