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See a sample rate comparisonCPT 75635 Fee Schedule
CPT 75635 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Computed Tomographic Angiography Abdominal Aorta And Bilateral Iliofemoral Lower Extremity Runoff With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing Rial(S) And Further Sections Including Image Post- Processing
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 75635 |
| Medicaid Fee Schedule | $283.005 median of the 8 states in the free preview · View Medicaid rates for 75635 |
National average reimbursement for CPT 75635 by major payers:
$466.67
BCBS / Anthem
$563.53
UnitedHealthcare
$479.15
Aetna
$670.00
Cigna
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CPT 75635
5 of 25 sample ratesHigher to lower in this preview
Jp Sleep Disorders LLC, Jp Sleep LLC
$861.59Published rateJeremiah Jansen
$585.91Published rateChance Cruson
$485.64Published rateBryce Lokey
$182.38Published rateJustin Mccoy
$102.76Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 75635 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 75635. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 75600-CPT | Moderate | X-Ray Of Aorta, An X-Ray Of The Largest Artery In The Body (Aorta) Is Taken After Introducing A Contrast Agent To Highlight Areas. Multiple Images May Be Taken. |
| 75605-CPT | Low | X-Ray Of Aorta, An X-Ray Of The Largest Artery In The Body (Aorta) Is Taken After Introducing A Contrast Agent To Highlight Areas. Multiple Images May Be Taken. |
| 75625-CPT | Low | X-Ray Of Aorta With Dye, This Procedure Assesses Narrowing Or Blockage In The Aorta (Largest Artery) Where It Runs Through The Abdomen And Pelvis. Dye Is Injected Into The Blood Vessel And X-Rays Are Taken. |
| 75635-CPT | Moderate | Computed Tomographic Angiography Abdominal Aorta And Bilateral Iliofemoral Lower Extremity Runoff With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing Rial(S) And Further Sections Including Image Post- Processing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75635. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75635 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To understand the cost of a medical procedure beforehand, you should first obtain the specific CPT (Current Procedural Terminology) code from your doctor's office. Once you have the CPT code and your specific location, you can use online tools to estimate costs. For a comprehensive search, Payerprice offers a fee schedule lookup tool where you can search with CPT codes and specific locations to get a better understanding of potential costs. You should also contact your insurance provider to understand your benefits, deductibles, co-pays, and co-insurance.
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers, payers, and facilities to describe medical, surgical, and diagnostic services. Each CPT code represents a specific procedure or service. These codes are crucial for understanding costs because they standardize the billing process. When you have the exact CPT code for a service, you can use it to search for pricing information, negotiate with providers, and verify charges on your medical bill. Tools like Payerprice's fee schedule lookup utilize these codes to provide location-specific cost estimates.
No, prices for medical procedures can vary significantly based on several factors, including the healthcare provider, the facility (e.g., hospital vs. outpatient clinic), geographical location, and your insurance plan. Even within the same city, different hospitals or clinics may charge different amounts for the exact same service. It's always recommended to research and compare prices for planned procedures. Services like Payerprice can help you compare costs by CPT code and specific location.
An in-network provider is a healthcare provider who has a contract with your health insurance plan to provide services at pre-negotiated rates. When you see an in-network provider, your insurance typically covers a larger portion of the cost, and your out-of-pocket expenses (like co-pays, deductibles, and co-insurance) are usually lower. An out-of-network provider does not have a contract with your insurance plan. If you see an out-of-network provider, your insurance may cover less of the cost, or not cover it at all, leading to higher out-of-pocket expenses for you. Some plans may require you to pay the full cost upfront and then submit a claim for partial reimbursement.
Understanding medical bills can be complex. Several resources can help: 1. **Your Insurance Provider:** They can explain your benefits, coverage, and how your bill aligns with your policy. 2. **Provider's Billing Department:** They can clarify specific charges and codes on your bill. 3. **Online Pricing Tools:** Tools like Payerprice allow you to look up typical costs for specific CPT codes in your area, which can help you verify if the charges on your bill are reasonable. 4. **Patient Advocates:** Organizations or independent advocates can help you navigate complex medical bills, appeal denials, and negotiate prices. 5. **Federal & State Regulations:** Laws like the No Surprises Act provide protections against unexpected medical bills from out-of-network providers in emergency situations or for certain services at in-network facilities.