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Wisconsin 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 $263 · 10th–90th $219$1,0230%10%20%10th90th$263Professionalmedian $302 · 10th–90th $110$1,2590%5%10th90th$302$20.0$100.0$500.0$2.0K$10.0K

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
$218.78 / $218.78 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $371.54 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $199.53 / $831.76
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $229.09 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $630.96 / $2,398.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $173.78 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $467.74 / $1,737.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $363.08 / $512.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $338.84 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $977.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $263.03 / $457.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $758.58 / $1,258.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $912.01 / $1,258.93
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $245.47 / $331.13
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $676.08 / $912.01
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$831.76 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $977.24 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $251.19 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $741.31 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $512.86
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $831.76 / $1,548.82
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $263.03 / $426.58
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $616.60 / $1,122.02
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $977.24 / $1,698.24
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $1,023.29 / $1,023.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $2,344.23 / $4,786.30
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $588.84 / $1,621.81
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $1,949.84 / $3,630.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,819.70 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $389.05 / $645.65
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $851.14 / $1,862.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $1,380.38 / $3,235.94
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $436.52 / $851.14
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $575.44 / $1,174.90