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Montana rates for HCPCS 73202

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

Facilitymedian $89 · 10th–90th $89–$1100%20%40%90th$89Professionalmedian $245 · 10th–90th $62–$5620%5%10th90th$245$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
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $371.54 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $102.33 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $407.38
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $407.38 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $89.13 / $162.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $457.09 / $616.60
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $109.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $562.34 / $707.95
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $89.13 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $53.70 / $109.65