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New York rates for HCPCS 73200

Computed tomography, upper extremity; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $58.88 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $173.78 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $74.13 / $186.21
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $147.91 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $35.48 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $53.70 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$223.87 / $281.84 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $131.83 / $316.23
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $147.91 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $53.70 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $288.40 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $70.79 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $229.09 / $691.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $323.59
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $69.18 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $154.88 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $234.42 / $398.11
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $67.61 / $117.49
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $165.96 / $275.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $208.93
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $57.54 / $104.71
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $245.47 / $436.52
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $69.18 / $125.89
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $173.78 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $407.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $51.29 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $151.36 / $316.23
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.90 / $54.95 / $173.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $436.52
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $67.61 / $138.04
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $162.18 / $309.03