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Arkansas rates for HCPCS 73701

Computed tomography, lower extremity; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $85.11 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $213.80 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $64.57 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $169.82 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $69.18 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $245.47 / $316.23
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $69.18 / $87.10
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $177.83 / $229.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $123.03 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $323.59 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $79.43 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $234.42 / $346.74
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $104.71 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $436.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $64.57 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $186.21 / $338.84