go back

North Carolina rates for HCPCS 73040

Radex Shoulder Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.20 / $28.57 / $43.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $116.08 / $228.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.18 / $24.20 / $46.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.93 / $91.88 / $178.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.84 / $19.84 / $20.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.81 / $194.81 / $194.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.75 / $59.02 / $73.47
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.23 / $163.72 / $217.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.37 / $30.37 / $30.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.19 / $171.46 / $306.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.11 / $42.79 / $73.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.59 / $126.93 / $235.51
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.45 / $45.00 / $74.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $90.00 / $142.44
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.45 / $39.45 / $45.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$375.69 / $375.69 / $375.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $129.04 / $221.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.49 / $140.57 / $273.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.33 / $35.44 / $71.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.86 / $105.04 / $209.24
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.90 / $131.81 / $131.81
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.12 / $859.12 / $1,089.08
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$211.35 / $211.35 / $216.60
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$689.44 / $689.44 / $872.40