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Georgia rates for HCPCS 73701

Ct Lower Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $88.88 / $243.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.28 / $275.00 / $579.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.17 / $72.78 / $208.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.97 / $220.00 / $432.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.14 / $217.14 / $217.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.51 / $66.73 / $98.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.89 / $286.83 / $534.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.59 / $72.18 / $151.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.28 / $203.76 / $395.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.91 / $122.01 / $223.09
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
$210.31 / $375.79 / $618.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.34 / $93.39 / $157.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.35 / $268.27 / $486.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $327.82 / $853.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.18 / $92.75 / $204.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.12 / $222.04 / $765.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.94 / $167.30 / $302.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.30 / $319.81 / $553.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.27 / $74.78 / $130.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.20 / $227.08 / $400.78