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Alaska rates for HCPCS 73201

Computed tomography, upper extremity; with contrast material(s)

Facilitymedian $309 · 10th–90th $178$3090%50%10th$309Professionalmedian $204 · 10th–90th $58$6170%5%10%10th90th$204$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $269.15 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $69.18 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $204.17 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $616.60 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $107.15 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $436.52 / $562.34
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $537.03 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $158.49 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $389.05 / $891.25
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $831.76 / $1,412.54
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $218.78 / $363.08
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $616.60 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $512.86 / $691.83
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $107.15 / $234.42
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $436.52 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $537.03 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $162.18 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $371.54 / $891.25