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Connecticut rates for HCPCS 73201

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $213.80 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $251.19 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $83.18 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $218.78 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $512.86 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $112.20 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $398.11 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $398.11 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $81.28 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $316.23 / $512.86
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $457.09
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $72.44 / $87.10
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $229.09 / $323.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $89.13 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $549.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $66.07 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $223.87 / $426.58