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Rhode Island rates for HCPCS 73201

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $229.09 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $97.72 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $251.19 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $537.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $69.18 / $114.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $190.55 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $407.38 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $104.71 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $302.00 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $457.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $66.07 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $213.80 / $346.74