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New York 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 $138 · 10th–90th $120$3020%20%10th90th$138Professionalmedian $251 · 10th–90th $112$6170%10%10th90th$251$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$120.23 / $138.04 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $154.88 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $245.47 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $61.66 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $125.89 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $218.78 / $602.56
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $407.38
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $128.82 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $676.08 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $165.96 / $457.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $512.86 / $1,548.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $602.56
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $154.88 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $263.03 / $389.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $436.52 / $954.99
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $162.18 / $281.84
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $302.00 / $707.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $338.84 / $794.33
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $134.90 / $234.42
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $602.56 / $1,096.48
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $162.18 / $295.12
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $436.52 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $147.91 / $549.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $309.03 / $1,096.48
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $131.83 / $380.19
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $426.58 / $933.25
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $162.18 / $295.12
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $288.40 / $707.95