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Hawaii rates for HCPCS 73201

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

Facilitymedian $62 · 10th–90th $55$720%10%20%10th90th$62Professionalmedian $209 · 10th–90th $58$5130%5%10th90th$209$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $61.66 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $275.42 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $61.66 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $190.55 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $295.12 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $69.18 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $234.42 / $323.59
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $389.05 / $426.58
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $74.13 / $77.62
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $302.00 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $64.57 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $199.53 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $416.87 / $912.01
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $87.10 / $446.68
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $331.13 / $524.81
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $354.81 / $630.96
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $83.18 / $123.03
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $288.40 / $524.81