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Arizona rates for HCPCS 71260

Computed tomography, thorax, diagnostic; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.62 / $106.49 / $555.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.86 / $284.02 / $689.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.00 / $66.63 / $218.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $228.97 / $376.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $112.62 / $170.42
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.97 / $52.46 / $97.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.63 / $59.63 / $62.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.81 / $191.78 / $239.73
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.42 / $54.79 / $69.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.87 / $136.99 / $171.24
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.24 / $63.24 / $63.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.46 / $276.70 / $496.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.76 / $70.67 / $126.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.20 / $214.17 / $368.69
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$518.00 / $518.00 / $518.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.33 / $297.94 / $1,890.30
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.25 / $63.31 / $450.76
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.03 / $236.97 / $1,576.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.33 / $262.64 / $426.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.25 / $54.30 / $112.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.03 / $197.31 / $302.07