go back

Nebraska rates for HCPCS 73700

Ct Lower Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.39 / $146.65 / $412.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.48 / $116.36 / $363.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.48 / $59.09 / $220.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.53 / $201.03 / $303.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.61 / $289.61 / $311.37
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.38 / $65.13 / $105.80
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.35 / $60.35 / $150.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.19 / $246.06 / $260.64
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.23 / $88.95 / $93.56
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.97 / $157.09 / $166.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$262.50 / $262.50 / $262.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.62 / $294.80 / $438.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.42 / $104.44 / $133.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.21 / $188.60 / $288.68
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$442.24 / $442.24 / $442.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.44 / $292.33 / $1,378.78
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.60 / $95.02 / $300.10
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.09 / $212.20 / $1,332.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.27 / $158.77 / $262.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.30 / $350.56 / $447.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $116.86 / $220.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.44 / $282.64 / $359.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.48 / $95.02 / $118.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.09 / $211.68 / $240.55