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Missouri 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 $195 · 10th–90th $129$5370%20%10th90th$195Professionalmedian $240 · 10th–90th $110$5890%5%10th90th$240$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
$128.82 / $194.98 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $354.81 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $151.36 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $89.13 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $141.25 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $251.19 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $446.68 / $588.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $123.03 / $165.96
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $323.59 / $407.38
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $128.82 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $602.56 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $147.91 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $436.52 / $851.14
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$812.83 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $660.69 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $501.19 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $524.81 / $912.01
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $138.04 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $380.19 / $660.69