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Kentucky rates for HCPCS 73201

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

Facilitymedian $76 · 10th–90th $18$1000%10%10th90th$76Professionalmedian $170 · 10th–90th $55$3470%5%10th90th$170$10.0$20.0$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
$52.48 / $75.86 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $239.88 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $186.21 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $54.95 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $64.57 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $181.97 / $346.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $83.18
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $380.19 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $91.20 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $288.40 / $851.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $58.88 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $208.93 / $302.00