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Nebraska rates for HCPCS 73200

Computed tomography, upper extremity; without contrast material

Facilitymedian $102 · 10th–90th $59$4270%10%20%10th90th$102Professionalmedian $115 · 10th–90th $47$3630%10%10th90th$115$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
$58.88 / $102.33 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $151.36 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $95.50 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $169.82 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $81.28 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $281.84 / $295.12
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $87.10 / $93.33
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $190.55 / $223.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $354.81 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $107.15 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $245.47 / $354.81
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $91.20 / $302.00
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $229.09 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $331.13 / $537.03
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $104.71 / $158.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $234.42 / $371.54
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $537.03
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $107.15 / $158.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $331.13 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $91.20 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $223.87 / $309.03