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Wyoming rates for HCPCS 73201

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

Facilitymedian $52 · 10th–90th $52–$520%50%100%$52Professionalmedian $214 · 10th–90th $56–$4790%5%10%10th90th$214$50.0$100.0$200.0$500.0$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
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $83.18 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $223.87 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $812.83 / $812.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $316.23 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $102.33 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $316.23 / $707.95