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Maine rates for HCPCS 73201

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

Facilitymedian $66 · 10th–90th $66$690%50%100%90th$66Professionalmedian $178 · 10th–90th $62$3800%5%10%10th90th$178$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $229.09 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $190.55 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $79.43 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $213.80 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $79.43 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $275.42 / $467.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $302.00 / $575.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $81.28 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $223.87 / $416.87
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $69.18
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $74.13 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $234.42 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $83.18 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $223.87 / $426.58