go back

North Dakota rates for HCPCS 75635

Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.20 / $83.20 / $190.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.52 / $325.00 / $490.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.20 / $113.94 / $304.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.32 / $213.12 / $364.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.57 / $1,015.10 / $1,064.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$219.62 / $271.02 / $283.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$602.95 / $744.09 / $780.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.28 / $128.28 / $128.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.71 / $787.09 / $1,121.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.59 / $189.78 / $285.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.39 / $594.41 / $831.21
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,048.24 / $1,048.24 / $1,048.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.76 / $791.62 / $4,801.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.90 / $227.53 / $1,632.94
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$329.86 / $571.38 / $3,601.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.56 / $768.24 / $1,215.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.47 / $215.55 / $296.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.24 / $562.54 / $831.44