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Illinois rates for HCPCS 73201

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

Facilitymedian $95 · 10th–90th $58$1700%10%20%10th90th$95Professionalmedian $170 · 10th–90th $58$4070%5%10th90th$170$10.0$50.0$200.0$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
$57.54 / $95.50 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $234.42 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $83.18 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $204.17 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $52.48 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $204.17 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $77.62 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $223.87 / $398.11
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $1,412.54
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $109.65 / $426.58
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $316.23 / $1,047.13
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $245.47 / $263.03
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $67.61 / $70.79
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $177.83 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $87.10 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $223.87 / $346.74