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Kansas rates for HCPCS 73201

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

Facilitymedian $115 · 10th–90th $85$2510%20%40%10th90th$115Professionalmedian $182 · 10th–90th $58$3630%5%10th90th$182$50.0$100.0$200.0$500.0$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
$85.11 / $114.82 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $245.47 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $186.21 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $40.74 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $302.00 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $72.44 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $229.09 / $416.87
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$398.11 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $331.13 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $77.62 / $346.74
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $251.19 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $295.12 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $64.57 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $223.87 / $316.23