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Washington, DC rates for HCPCS 73201

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

Facilitymedian $224 · 10th–90th $49$3550%20%40%10th90th$224Professionalmedian $155 · 10th–90th $56$3310%5%10%10th90th$155$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$48.98 / $223.87 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $218.78 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $89.13 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $186.21 / $407.38
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $288.40 / $1,258.93
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $64.57 / $70.79
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $194.98 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $66.07 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $251.19 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $229.09 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $57.54 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $173.78 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $269.15 / $1,584.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $181.97 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $234.42 / $870.96