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Florida rates for HCPCS 73200

Computed tomography, upper extremity; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $51.29 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $169.82 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $67.61 / $181.97
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$43.65 / $199.53 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $138.04 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $48.98 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.18 / $162.18 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $81.28 / $83.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $53.70 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $57.54 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $151.36 / $323.59
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $53.70 / $53.70
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $194.98 / $269.15
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $50.12 / $70.79
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $138.04 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $70.79 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $338.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $44.67 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $138.04 / $257.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $31.62 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $77.62 / $102.33