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Missouri rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.18 / $70.04 / $124.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.45 / $253.52 / $833.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.18 / $67.92 / $235.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.71 / $189.32 / $657.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.63 / $334.63 / $334.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.56 / $57.02 / $81.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.42 / $261.82 / $564.41
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.68 / $73.70 / $120.51
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.74 / $190.90 / $457.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.89 / $62.89 / $62.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.16 / $306.29 / $531.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.87 / $78.34 / $137.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.18 / $231.19 / $413.85
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$397.76 / $514.88 / $514.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.33 / $330.48 / $1,627.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.50 / $79.70 / $345.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.58 / $259.73 / $1,330.47
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.56 / $99.56 / $99.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.03 / $297.35 / $480.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.33 / $68.09 / $118.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.36 / $220.66 / $427.02