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Louisiana rates for HCPCS 73201

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

Facilitymedian $66 · 10th–90th $60$1000%20%10th90th$66Professionalmedian $162 · 10th–90th $55$3090%5%10th90th$162$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
$60.26 / $66.07 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $229.09 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $66.07 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $186.21 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $52.48 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $398.11
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $77.62 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $229.09 / $288.40
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $52.48 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $251.19 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $66.07 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $177.83 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $245.47 / $416.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $58.88 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $177.83 / $316.23