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Arizona rates for HCPCS 73200

Ct Upper Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.59 / $90.96 / $177.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.35 / $221.45 / $467.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $55.00 / $208.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.06 / $197.52 / $291.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.58 / $142.41 / $160.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.65 / $62.73 / $86.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.58 / $177.80 / $222.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.94 / $46.78 / $58.66
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.64 / $131.02 / $163.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.02 / $54.02 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.07 / $247.66 / $390.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.63 / $60.83 / $103.18
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$231.34 / $231.34 / $231.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.93 / $175.98 / $288.02
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$442.24 / $442.24 / $442.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.30 / $229.34 / $1,378.78
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.25 / $51.12 / $300.10
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.74 / $184.89 / $1,103.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.30 / $209.68 / $369.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.25 / $47.21 / $92.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.86 / $155.07 / $275.52