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Ohio rates for HCPCS 73202

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

Facilitymedian $78 · 10th–90th $58–$2000%20%10th90th$78Professionalmedian $182 · 10th–90th $58–$4570%10%10th90th$182$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $77.62 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $288.40 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $64.57 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $75.86 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $302.00 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $79.43 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $371.54 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $77.62 / $134.90
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.80 / $64.57 / $93.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $363.08 / $676.08
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $77.62 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $186.21
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $181.97 / $331.13
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $69.18 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $316.23 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $64.57 / $117.49