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North Dakota 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 $112 · 10th–90th $83–$1910%20%40%10th90th$112Professionalmedian $263 · 10th–90th $112–$7240%5%10%10th90th$263$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$83.18 / $112.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $363.08 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $173.78 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $229.09 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $954.99 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $257.04 / $288.40
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $707.95 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $724.44 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $165.96 / $288.40
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $562.34 / $831.76
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $758.58 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $213.80 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $549.54 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $724.44 / $1,096.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $199.53 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $562.34 / $851.14