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Idaho rates for HCPCS 73200

Computed tomography, upper extremity; without contrast material

Facilitymedian $112 · 10th–90th $62$1260%20%10th90th$112Professionalmedian $126 · 10th–90th $47$3160%5%10%10th90th$126$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $104.71 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $165.96 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $74.13 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $169.82 / $316.23
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $288.40 / $398.11
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $123.03
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $194.98 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $213.80 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $58.88 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $141.25 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $912.01
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $354.81 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $123.03 / $125.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $302.00 / $457.09
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $91.20 / $128.82
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $223.87 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $102.33
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $338.84 / $407.38
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $95.50 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $245.47 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $144.54 / $457.09
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $104.71
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $117.49 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $208.93 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $54.95 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $154.88 / $275.42