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Oklahoma 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 $162 · 10th–90th $129$7080%50%10th90th$162Professionalmedian $240 · 10th–90th $110$5500%5%10th90th$240$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
$128.82 / $162.18 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $363.08 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $147.91 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $85.11 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $407.38 / $562.34
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $478.63 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $117.49 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $363.08 / $602.56
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$812.83 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $537.03 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $128.82 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $446.68 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $446.68 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $120.23 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $331.13 / $602.56