go back

Alaska rates for HCPCS 73200

Ct Upper Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.71 / $262.70 / $262.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.44 / $272.42 / $689.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $78.81 / $262.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.61 / $221.14 / $459.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.84 / $560.87 / $700.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.64 / $153.62 / $210.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.19 / $407.25 / $490.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.72 / $474.51 / $1,035.82
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.23 / $139.21 / $343.64
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.70 / $338.67 / $692.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.25 / $669.60 / $1,124.21
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$175.00 / $189.00 / $317.37
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.25 / $480.60 / $806.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $620.00 / $1,066.80
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.00 / $213.00 / $317.37
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$407.25 / $541.50 / $806.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.79 / $647.25 / $1,031.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.28 / $140.52 / $312.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$290.98 / $293.24 / $695.44