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Rhode Island rates for HCPCS 73701

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $190.55 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $107.15 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $234.42 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $457.09
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $70.79 / $114.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $144.54 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $354.81 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $104.71 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $245.47 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $389.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $66.07 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $194.98 / $275.42