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Vermont rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.30 / $283.61 / $359.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $58.49 / $68.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.21 / $230.79 / $291.50
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$340.53 / $340.53 / $340.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.23 / $359.80 / $892.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.73 / $423.07 / $892.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.63 / $81.34 / $230.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.21 / $227.94 / $576.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.73 / $419.26 / $892.86
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.52 / $81.34 / $230.98
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.21 / $227.94 / $374.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.92 / $452.52 / $949.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $81.99 / $245.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.73 / $342.73 / $704.07