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South Carolina 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 $105 · 10th–90th $83$1700%20%40%10th90th$105Professionalmedian $240 · 10th–90th $107$5890%5%10%10th90th$240$20.0$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
$83.18 / $104.71 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $123.03 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $229.09 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $85.11 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $407.38 / $616.60
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $114.82 / $165.96
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $275.42 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $645.65 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $147.91 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $467.74 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $575.44 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $138.04 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $436.52 / $758.58