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Virginia 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
$51.41 / $66.20 / $222.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.43 / $261.20 / $418.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $58.18 / $83.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.52 / $301.04 / $471.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.10 / $65.22 / $101.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.58 / $358.07 / $1,085.29
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.79 / $63.79 / $81.01
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 / $400.33 / $677.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.44 / $75.37 / $137.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.89 / $289.07 / $354.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.15 / $63.19 / $77.11
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $87.93 / $180.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $330.00 / $573.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.72 / $357.18 / $624.63
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.92 / $81.61 / $129.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.86 / $363.77 / $564.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.14 / $74.50 / $112.40