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South Carolina rates for HCPCS 73200

Computed tomography, upper extremity; without contrast material

Facilitymedian $83 · 10th–90th $62$1050%20%40%10th90th$83Professionalmedian $126 · 10th–90th $47$3240%5%10%10th90th$126$10.0$50.0$200.0$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 / $83.18 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $173.78 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $83.18 / $173.78
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $177.83 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $141.25 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $43.65 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $263.03 / $436.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $89.13 / $138.04
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $173.78 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $257.04 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $66.07 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $190.55 / $323.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $416.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $60.26 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $181.97 / $331.13