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Arkansas rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.04 / $84.50 / $93.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.21 / $301.37 / $434.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.66 / $71.81 / $84.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.65 / $222.12 / $364.76
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.34 / $90.07 / $100.59
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$205.73 / $205.73 / $205.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.75 / $281.58 / $312.87
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.83 / $79.19 / $87.99
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.91 / $202.39 / $224.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.49 / $323.85 / $444.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.03 / $80.27 / $118.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.16 / $234.29 / $343.45
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.19 / $103.58 / $115.68
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.59 / $236.59 / $236.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.46 / $298.93 / $421.16
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.90 / $67.36 / $108.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.05 / $234.93 / $300.11