go back

Iowa rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.65 / $104.02 / $283.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.73 / $272.22 / $397.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.85 / $55.59 / $255.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.96 / $203.80 / $279.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$175.41 / $180.67 / $185.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.28 / $486.87 / $713.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.88 / $124.89 / $170.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.78 / $360.53 / $570.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.17 / $329.04 / $768.50
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.91 / $82.43 / $200.07
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.26 / $237.33 / $612.45
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$397.76 / $514.88 / $514.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.54 / $400.98 / $1,627.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.84 / $73.84 / $345.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.17 / $236.71 / $1,330.47
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$180.67 / $185.93 / $305.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.45 / $464.77 / $688.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $187.29 / $331.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.16 / $270.55 / $471.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.84 / $70.02 / $129.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.06 / $196.71 / $342.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.26 / $390.20 / $459.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.63 / $104.60 / $123.10
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.62 / $285.60 / $336.00