go back

Michigan rates for HCPCS 73701

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $70.79 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $208.93 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $95.50 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $173.78 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $51.29 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $269.15 / $501.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $87.10 / $117.49
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $181.97 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $131.83 / $229.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $75.86 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $213.80 / $407.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $70.79 / $131.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $512.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $72.44 / $194.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $190.55 / $380.19
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $61.66 / $89.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $251.19 / $562.34
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $60.26 / $123.03
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $173.78 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $389.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $61.66 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $186.21 / $295.12