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New York rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.18 / $69.68 / $146.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $257.16 / $540.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $60.22 / $139.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.11 / $196.72 / $407.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.47 / $158.47 / $158.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.21 / $43.15 / $58.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $258.42 / $664.16
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.76 / $62.61 / $130.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.04 / $191.30 / $476.87
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.93 / $230.98 / $310.91
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
$167.79 / $356.66 / $1,028.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.97 / $77.41 / $171.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.82 / $282.64 / $721.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.85 / $282.64 / $483.68
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.60 / $70.63 / $123.45
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.34 / $197.87 / $360.24
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.70 / $245.90 / $426.46
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.21 / $78.95 / $115.02
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.05 / $207.71 / $311.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.40 / $242.34 / $453.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.19 / $65.91 / $133.94
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.89 / $62.89 / $62.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.01 / $323.72 / $829.33
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.49 / $74.87 / $165.30
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.19 / $234.68 / $604.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.47 / $268.05 / $580.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.60 / $61.90 / $133.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.38 / $197.87 / $436.28
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.16 / $64.16 / $186.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.45 / $313.05 / $564.44
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.21 / $84.43 / $150.49
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$150.77 / $228.62 / $413.95