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New Hampshire 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 $257 · 10th–90th $110$4470%20%10th90th$257Professionalmedian $302 · 10th–90th $120$8320%5%10th90th$302$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $257.04 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $123.03 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $234.42 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $141.25 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $954.99 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $251.19 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $691.83 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $851.14 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $190.55 / $331.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $602.56 / $1,148.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $741.31 / $1,096.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $199.53 / $288.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $549.54 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $724.44 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $177.83 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $501.19 / $933.25
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $91.20 / $109.65