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New York rates for HCPCS 73201

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $77.62 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $245.47 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $81.28 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $204.17 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $104.71 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $61.66 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $190.55 / $416.87
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $229.09 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $346.74 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $81.28 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $281.84 / $851.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $416.87
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $79.43 / $204.17
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $208.93 / $302.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $512.86
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $79.43 / $138.04
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $208.93 / $371.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $245.47 / $467.74
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $66.07 / $134.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $537.03
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $79.43 / $144.54
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $223.87 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $257.04 / $501.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $58.88 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $194.98 / $398.11
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $64.57 / $186.21
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $549.54
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $79.43 / $158.49
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $208.93 / $407.38