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Tennessee rates for HCPCS 73200

Ct Upper Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $98.00 / $233.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $275.00 / $422.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.61 / $55.00 / $131.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.98 / $220.00 / $249.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.12 / $238.83 / $296.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.79 / $50.44 / $108.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.73 / $80.73 / $80.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.06 / $280.27 / $404.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.12 / $74.09 / $119.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.80 / $211.39 / $304.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.19 / $49.19 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.81 / $265.00 / $434.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.81 / $70.09 / $112.93
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$264.19 / $264.19 / $264.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.98 / $198.63 / $312.12
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$430.56 / $430.56 / $442.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.78 / $1,420.14 / $1,420.14
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$300.10 / $300.10 / $376.28
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,103.98 / $1,137.09 / $1,137.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.41 / $237.33 / $373.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.66 / $58.79 / $103.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.44 / $169.36 / $302.27