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Wisconsin rates for HCPCS 73202

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

Facilitymedian $132 · 10th–90th $112$5250%20%40%10th90th$132Professionalmedian $224 · 10th–90th $58$6760%5%10%10th90th$224$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$112.20 / $112.20 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $288.40 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $70.79 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $89.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $177.83 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $645.65 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $134.90 / $234.42
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $758.58
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $125.89 / $169.82
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $602.56 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $123.03 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $407.38
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $602.56 / $977.24
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $134.90 / $218.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $524.81 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,174.90 / $2,089.30
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $302.00 / $398.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,479.11 / $1,819.70
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $213.80 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $501.19 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $104.71 / $223.87