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Maine 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 $138 · 10th–90th $135$1550%50%10th90th$138Professionalmedian $263 · 10th–90th $112$6170%5%10th90th$263$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$134.90 / $138.04 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $138.04 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $229.09 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $281.84 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $724.44 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $162.18 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $549.54 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $630.96 / $1,174.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $165.96 / $316.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $457.09 / $870.96
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $138.04 / $15,488.17
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $144.54 / $263.03
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $288.40 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $602.56 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $169.82 / $436.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $436.52 / $851.14