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Maryland rates for HCPCS 73200

Ct Upper Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.28 / $54.98 / $80.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $211.03 / $693.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.81 / $55.00 / $213.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$605.36 / $605.36 / $636.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.99 / $177.61 / $548.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.64 / $224.70 / $285.37
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.33 / $52.67 / $66.89
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.83 / $172.03 / $218.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.19 / $265.32 / $451.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.54 / $59.74 / $109.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.94 / $194.45 / $326.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.08 / $218.11 / $368.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.61 / $56.69 / $91.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.84 / $157.16 / $269.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.84 / $196.74 / $350.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.89 / $51.03 / $86.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.78 / $156.34 / $285.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.69 / $176.42 / $229.35
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.79 / $49.58 / $64.45
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.90 / $126.84 / $162.13