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Montana 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 $174 · 10th–90th $174$2140%20%40%90th$174Professionalmedian $263 · 10th–90th $110$7080%5%10th90th$263$20.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $173.78 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $316.23 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $660.69 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $173.78 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $489.78 / $870.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $891.25
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $213.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $933.25 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $173.78 / $257.04
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $489.78 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $870.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $107.15 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $389.05 / $616.60