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Tennessee 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
$55.00 / $85.25 / $314.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.82 / $275.00 / $413.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $55.00 / $98.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.93 / $66.01 / $66.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.11 / $428.38 / $625.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.74 / $89.34 / $144.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.91 / $59.91 / $65.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $384.91 / $632.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.82 / $84.75 / $135.80
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$522.72 / $522.72 / $537.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.16 / $2,077.23 / $2,077.23
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$394.61 / $394.61 / $456.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.57 / $346.47 / $564.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.07 / $70.79 / $124.88