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Pennsylvania rates for HCPCS 73206

Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $181.97 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $331.13 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $120.23 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $89.13 / $138.04
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $109.65 / $208.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $467.74 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $104.71 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $109.65 / $134.90
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $724.44
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $100.00 / $181.97
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $398.11
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $102.33 / $128.82
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $169.82 / $316.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $389.05 / $851.14
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $120.23 / $245.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $323.59 / $630.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $93.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $346.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $630.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $93.33 / $151.36