go back

Arizona rates for HCPCS 73701

Ct Lower Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.84 / $105.86 / $204.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $274.70 / $462.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $58.83 / $208.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $224.62 / $368.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.91 / $160.56 / $166.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.72 / $63.21 / $101.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.52 / $191.45 / $239.31
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.65 / $54.46 / $68.06
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.87 / $136.99 / $171.24
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.89 / $62.89 / $62.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $279.22 / $472.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.52 / $68.56 / $118.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.20 / $217.00 / $361.67
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$514.88 / $514.88 / $514.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.19 / $274.43 / $1,638.03
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.35 / $56.23 / $376.34
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.88 / $227.08 / $1,335.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.19 / $244.48 / $422.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.35 / $50.58 / $111.37
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.88 / $196.15 / $294.35