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West Virginia 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 $129 · 10th–90th $117$1910%20%40%10th90th$129Professionalmedian $240 · 10th–90th $105$4170%10%10th90th$240$20.0$50.0$100.0$200.0$500.0$1.0K

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
$117.49 / $128.82 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $151.36 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $213.80 / $346.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $416.87 / $870.96
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
$331.13 / $676.08 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $162.18 / $588.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $549.54 / $1,548.82
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $186.21 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $630.96 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $134.90 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $489.78 / $851.14