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Indiana 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 $155 · 10th–90th $115$1820%20%10th90th$155Professionalmedian $245 · 10th–90th $112$5500%5%10th90th$245$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
$114.82 / $154.88 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $165.96 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $218.78 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $109.65 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $389.05 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $123.03 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $263.03 / $426.58
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $338.84 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $616.60 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $141.25 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $457.09 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $524.81 / $954.99
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $389.05 / $724.44