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Vermont rates for HCPCS 73201

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

Facilitymedian $339 · 10th–90th $339$3390%50%100%$339Professionalmedian $170 · 10th–90th $58$3630%10%10th90th$170$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $269.15 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $223.87 / $309.03
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $81.28 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $295.12 / $575.44
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $72.44 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $223.87 / $446.68