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Delaware rates for HCPCS 73701

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $61.66 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $169.82 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $85.11 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $173.78 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $64.57 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $218.78 / $346.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $54.95 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $467.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $60.26 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $194.98 / $371.54