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Maryland 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 $132 · 10th–90th $95$1910%20%40%10th90th$132Professionalmedian $245 · 10th–90th $110$6170%5%10th90th$245$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
$95.50 / $131.83 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $181.97 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $234.42 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $524.81 / $602.56
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $131.83 / $158.49
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $398.11 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $125.89 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $426.58 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $489.78 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $125.89 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $363.08 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $537.03 / $954.99
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $123.03 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $398.11 / $724.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $331.13 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $120.23 / $169.82
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $208.93 / $295.12