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Michigan 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 $148 · 10th–90th $145$1820%50%10th90th$148Professionalmedian $275 · 10th–90th $112$7080%5%10th90th$275$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
$144.54 / $147.91 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $173.78 / $436.52
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $245.47 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $128.82 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $616.60 / $660.69
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $239.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $363.08 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $602.56 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $138.04 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $426.58 / $891.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $147.91 / $251.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $831.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $147.91 / $363.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $302.00 / $562.34
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $436.52 / $933.25
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $125.89 / $204.17
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $309.03 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $501.19 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $131.83 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $371.54 / $660.69