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Oregon rates for HCPCS 73201

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

Facilitymedian $120 · 10th–90th $76$1380%20%10th90th$120Professionalmedian $191 · 10th–90th $58$4900%5%10th90th$191$10.0$20.0$50.0$100.0$200.0$500.0$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
$75.86 / $120.23 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $275.42 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $83.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $223.87 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $77.62 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $239.88 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $457.09 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $117.49 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $331.13 / $407.38
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $426.58 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $109.65 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $331.13 / $467.74
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $169.82 / $380.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $446.68 / $602.56
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $112.20 / $158.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $338.84 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $478.63 / $602.56
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $117.49 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $354.81 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $645.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $72.44 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $223.87 / $478.63