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North Carolina 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 / $74.13 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $100.00 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $190.55 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $54.95 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $102.33 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $138.04 / $169.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $416.87 / $691.83
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
$199.53 / $371.54 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $83.18 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $281.84 / $478.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $102.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $158.49 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $512.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $69.18 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $223.87 / $380.19
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$501.19 / $501.19 / $501.19
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$380.19 / $380.19 / $436.52
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,348.96 / $1,380.38 / $1,380.38