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Florida rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $59.00 / $190.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $240.54 / $354.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.03 / $55.00 / $123.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $178.14 / $276.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.82 / $158.47 / $308.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.97 / $56.38 / $112.21
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.89 / $62.89 / $169.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.65 / $264.33 / $503.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.95 / $62.02 / $115.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.34 / $197.52 / $395.92
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.80 / $61.80 / $61.80
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.94 / $250.67 / $333.27
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.26 / $63.20 / $81.11
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.69 / $186.51 / $254.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $156.71 / $276.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.61 / $225.92 / $427.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.99 / $49.56 / $101.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.32 / $170.38 / $333.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.19 / $132.19 / $132.19
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.86 / $34.86 / $34.86
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.32 / $97.32 / $97.32