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Illinois rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.32 / $95.84 / $107.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.84 / $272.22 / $434.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $60.22 / $114.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.05 / $222.12 / $324.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.35 / $261.35 / $261.35
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.21 / $51.80 / $72.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.76 / $234.69 / $449.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.00 / $72.00 / $72.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.49 / $305.94 / $478.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.39 / $75.00 / $113.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.29 / $225.61 / $359.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.08 / $349.07 / $1,156.61
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.94 / $93.87 / $382.05
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.76 / $263.16 / $870.94
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.84 / $244.93 / $263.69
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.38 / $67.80 / $71.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.05 / $178.56 / $192.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $74.73 / $275.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.57 / $309.14 / $458.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $74.15 / $132.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.39 / $237.85 / $355.94