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Alaska rates for HCPCS 73700

Computed tomography, lower extremity; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.76 / $262.70 / $320.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.31 / $272.42 / $565.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $72.75 / $262.70
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.19 / $162.19 / $162.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.61 / $221.14 / $313.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.70 / $476.19 / $700.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.64 / $153.62 / $210.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.05 / $313.08 / $490.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.43 / $383.31 / $845.02
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.23 / $139.21 / $343.64
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.37 / $247.44 / $501.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.75 / $632.50 / $974.46
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$175.00 / $189.00 / $317.37
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$318.75 / $453.75 / $657.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.43 / $497.50 / $974.46
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.00 / $213.00 / $317.37
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$322.50 / $453.75 / $732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.57 / $566.13 / $961.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.52 / $210.78 / $335.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.89 / $355.35 / $649.83