go back

Maine rates for HCPCS 73200

Computed tomography, upper extremity; without contrast material

Facilitymedian $58 · 10th–90th $54$650%50%10th90th$58Professionalmedian $135 · 10th–90th $49$3470%10%10th90th$135$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$53.70 / $57.54 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $177.83 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $81.28 / $154.88
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $138.04 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $67.61 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$229.09 / $338.84 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $154.88 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $295.12 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $70.79 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $223.87 / $389.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $245.47 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $70.79 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $173.78 / $323.59
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $57.54 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $245.47 / $467.74
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $64.57 / $117.49
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $173.78 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $245.47 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $77.62 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $177.83 / $338.84