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Maryland rates for HCPCS 73201

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

Facilitymedian $58 · 10th–90th $47$650%20%40%10th90th$58Professionalmedian $158 · 10th–90th $55$3800%5%10%10th90th$158$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
$46.77 / $57.54 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $251.19 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $85.11 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $204.17 / $436.52
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $257.04 / $302.00
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $64.57 / $72.44
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $194.98 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $288.40 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $63.10 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $218.78 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $239.88 / $354.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $61.66 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $181.97 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $467.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $60.26 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $204.17 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $229.09 / $331.13
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $57.54 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $173.78 / $251.19