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Wisconsin rates for HCPCS 73200

Computed tomography, upper extremity; without contrast material

Facilitymedian $105 · 10th–90th $91$4270%20%10th90th$105Professionalmedian $151 · 10th–90th $50$5620%5%10th90th$151$10.0$50.0$200.0$1.0K$5.0K

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
$91.20 / $104.71 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $181.97 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $95.50 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $173.78 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $257.04 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $74.13 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$245.47 / $426.58 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $181.97 / $676.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $138.04 / $199.53
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $144.54 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $446.68 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $109.65 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $323.59 / $478.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $363.08 / $489.78
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $104.71 / $141.25
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$446.68 / $537.03 / $741.31
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $257.04 / $346.74
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
$208.93 / $407.38 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $112.20 / $302.00
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $295.12 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $239.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $389.05 / $676.08
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $112.20 / $177.83
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $288.40 / $478.63
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $407.38 / $776.25
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $426.58 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $794.33 / $1,412.54
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $245.47 / $302.00
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $616.60 / $1,148.15
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $954.99 / $1,174.90
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $181.97 / $269.15
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $489.78 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $691.83 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $190.55 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $239.88 / $467.74