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Maine rates for HCPCS 73701

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

Facilitymedian $66 · 10th–90th $66$690%50%100%90th$66Professionalmedian $155 · 10th–90th $58$3630%5%10th90th$155$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $213.80 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $165.96 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $245.47 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $79.43 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $165.96 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $331.13 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $79.43 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $251.19 / $446.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $81.28 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $173.78 / $323.59
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $69.18
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $562.34
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $74.13 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $199.53 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $295.12 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $83.18 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $218.78 / $389.05