go back

Ohio rates for HCPCS 73700

Computed tomography, lower extremity; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $63.10 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $151.36 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $75.86 / $218.78
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$138.04 / $302.00 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $141.25 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $50.12 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $97.72 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $69.18 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$263.03 / $407.38 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $190.55 / $331.13
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $151.36 / $245.47
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $56.23 / $91.20
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $93.33 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $102.33 / $177.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $53.70 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $218.78 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $64.57 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $151.36 / $316.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $53.70 / $75.86
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $416.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $69.18 / $138.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $147.91 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $95.50
SummaCare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $239.88
SummaCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $57.54 / $100.00
SummaCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $64.57 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $331.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $54.95 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $125.89 / $239.88