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Nebraska 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 $347 · 10th–90th $229$1,0470%20%10th90th$347Professionalmedian $269 · 10th–90th $112$6760%10%10th90th$269$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
$229.09 / $346.74 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $407.38 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $223.87 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $239.88 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $190.55 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $524.81 / $562.34
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $208.93 / $223.87
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $323.59 / $338.84
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $707.95 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $239.88 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $501.19 / $933.25
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
$501.19 / $758.58 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $208.93 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $588.84 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $630.96 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $245.47 / $380.19
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $389.05 / $616.60
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $223.87 / $380.19
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $616.60 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $776.25 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $218.78 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $575.44 / $776.25