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Massachusetts rates for HCPCS 73201

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

Facilitymedian $91 · 10th–90th $42$2190%20%10th90th$91Professionalmedian $178 · 10th–90th $59$4900%5%10th90th$178$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
$41.69 / $75.86 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $239.88 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $91.20 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $190.55 / $436.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $346.74 / $346.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $323.59 / $1,737.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $346.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $257.04 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $575.44 / $954.99
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $107.15 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $354.81 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $79.43 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $275.42 / $512.86
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $213.80 / $398.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $630.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $83.18 / $144.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $234.42 / $407.38
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $87.10 / $112.20
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $346.74 / $346.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $323.59 / $1,737.80
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $346.74
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $257.04 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $323.59 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $79.43 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $245.47 / $478.63