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Pennsylvania rates for HCPCS 73201

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

Facilitymedian $110 · 10th–90th $52$2000%10%10th90th$110Professionalmedian $162 · 10th–90th $56$3720%5%10th90th$162$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
$52.48 / $109.65 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $234.42 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $81.28 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $199.53 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $77.62 / $89.13
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $83.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $204.17 / $398.11
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $56.23 / $109.65
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $147.91 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $69.18 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $234.42 / $407.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $275.42 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $72.44 / $87.10
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $199.53 / $251.19
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $64.57 / $114.82
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $199.53 / $380.19
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $257.04 / $269.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $67.61 / $85.11
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $87.10
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $79.43 / $177.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $575.44
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $69.18 / $128.82
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $218.78 / $426.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $323.59 / $467.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $61.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $288.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $54.95 / $61.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $147.91 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $263.03 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $64.57 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $199.53 / $346.74