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Connecticut rates for HCPCS 73701

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $213.80 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $194.98 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $85.11 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $213.80 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $457.09 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $112.20 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $316.23 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $81.28 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $295.12 / $436.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $457.09
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $72.44 / $87.10
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $177.83 / $323.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $95.50 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $275.42 / $501.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $66.07 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $199.53 / $371.54