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Idaho 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 $162 · 10th–90th $145$3020%20%40%10th90th$162Professionalmedian $263 · 10th–90th $110$5890%5%10th90th$263$20.0$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
$144.54 / $162.18 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $416.87 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $134.90 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $281.84 / $416.87
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $537.03 / $794.33
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $213.80 / $295.12
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $331.13 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $114.82 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $323.59 / $776.25
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,659.59
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$870.96 / $870.96 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $616.60 / $758.58
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $295.12 / $302.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $724.44 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $208.93 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $524.81 / $851.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $194.98
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $870.96 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $229.09 / $275.42
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $645.65 / $741.31
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $275.42 / $1,023.29
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $239.88
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $288.40 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $123.03 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $354.81 / $660.69