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New York rates for HCPCS 73701

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $74.13 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $208.93 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $85.11 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $181.97 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $48.98 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $61.66 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $144.54 / $407.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $173.78 / $251.19
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 / $346.74 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $81.28 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $269.15 / $870.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $79.43 / $204.17
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $158.49 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $245.47 / $426.58
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $79.43 / $138.04
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $186.21 / $288.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $457.09
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $66.07 / $117.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $489.78
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $79.43 / $144.54
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $186.21 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $234.42 / $467.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $58.88 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $158.49 / $363.08
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $64.57 / $186.21
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $245.47 / $489.78
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $79.43 / $158.49
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $177.83 / $331.13