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Alaska rates for HCPCS 73202

Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$180.78 / $180.78 / $180.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.00 / $896.69 / $896.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $235.25 / $257.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.69 / $827.56 / $941.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.85 / $186.67 / $214.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.91 / $726.84 / $1,576.25
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.47 / $169.18 / $417.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.25 / $1,034.09 / $1,747.77
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$212.50 / $229.50 / $386.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.62 / $957.50 / $1,650.60
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.67 / $259.50 / $386.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.74 / $993.06 / $1,582.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.99 / $256.89 / $409.32