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Michigan rates for HCPCS 73201

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

Facilitymedian $71 · 10th–90th $71$890%50%90th$71Professionalmedian $178 · 10th–90th $58$4270%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
$70.79 / $70.79 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $257.04 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $81.28 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $213.80 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $52.48 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $323.59 / $602.56
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $117.49
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $72.44 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $229.09 / $436.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $70.79 / $131.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $575.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $70.79 / $154.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $426.58
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $478.63
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $67.61 / $102.33
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $186.21 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $263.03 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $199.53 / $346.74