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Pennsylvania rates for HCPCS 73202

Ct Upper Extremity W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.03 / $83.88 / $204.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.49 / $267.55 / $444.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $58.30 / $132.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.04 / $43.93 / $52.56
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.21 / $240.98 / $490.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.08 / $59.24 / $114.02
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.64 / $65.64 / $65.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.40 / $383.92 / $658.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.89 / $70.31 / $114.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.58 / $374.20 / $937.64
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.38 / $74.95 / $118.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.33 / $287.33 / $287.33
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.28 / $71.03 / $93.60
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.03 / $105.55 / $209.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.08 / $287.89 / $729.63
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $63.22 / $154.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.60 / $325.00 / $582.99
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.17 / $65.64 / $65.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.46 / $381.44 / $635.74
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.38 / $70.01 / $117.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.10 / $57.10 / $65.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.62 / $227.36 / $349.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.65 / $57.10 / $65.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.55 / $317.74 / $527.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.46 / $68.04 / $116.66