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Minnesota rates for HCPCS 73701

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $56.23 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $87.10 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $173.78 / $371.54
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $602.56
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $131.83 / $194.98
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $295.12 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $173.78 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $104.71 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $223.87 / $416.87
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.88 / $194.98 / $380.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $501.19
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $81.28 / $128.82
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $177.83 / $354.81
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$512.86 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $398.11 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $114.82 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $288.40 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $371.54 / $602.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $95.50 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $269.15 / $426.58