go back

Rhode Island rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$350.35 / $350.35 / $487.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.15 / $272.22 / $329.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.97 / $53.18 / $62.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.18 / $222.12 / $272.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.67 / $294.89 / $514.45
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $78.23 / $108.67
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.66 / $216.67 / $220.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.60 / $425.39 / $464.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.58 / $105.00 / $117.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.78 / $314.48 / $352.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.47 / $292.00 / $410.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.65 / $66.54 / $106.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.15 / $221.34 / $332.38