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Delaware rates for HCPCS 73700

Computed tomography, lower extremity; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.23 / $61.32 / $171.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.70 / $220.22 / $271.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $48.61 / $72.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.25 / $147.47 / $201.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.34 / $244.28 / $332.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.97 / $54.99 / $86.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.33 / $169.92 / $258.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.37 / $155.22 / $155.22
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.05 / $59.05 / $733.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.33 / $196.36 / $352.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.53 / $61.57 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.48 / $190.98 / $258.83