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Nebraska rates for HCPCS 73701

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

Facilitymedian $170 · 10th–90th $112$5130%20%10th90th$170Professionalmedian $135 · 10th–90th $55$3980%10%10th90th$135$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $169.82 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $190.55 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $120.23 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $186.21 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $93.33 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $316.23 / $338.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $102.33 / $109.65
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $208.93 / $346.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $120.23 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $269.15 / $398.11
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $354.81 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $107.15 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $275.42 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $371.54 / $575.44
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $120.23 / $186.21
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $251.19 / $389.05
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $575.44
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $112.20 / $186.21
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $389.05 / $416.87
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $120.23 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $338.84 / $616.60
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $107.15 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $234.42 / $323.59