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Delaware rates for HCPCS 73200

Ct Upper Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.23 / $61.32 / $124.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.53 / $221.44 / $320.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $47.23 / $52.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.08 / $123.96 / $221.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.29 / $271.70 / $336.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.97 / $54.99 / $86.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.62 / $194.07 / $263.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.11 / $165.11 / $165.11
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.05 / $59.05 / $477.27
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.42 / $167.42 / $167.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.22 / $241.98 / $406.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.36 / $61.57 / $112.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.42 / $156.72 / $292.64