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South Carolina rates for HCPCS 73701

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

Facilitymedian $83 · 10th–90th $72$1070%50%10th90th$83Professionalmedian $126 · 10th–90th $55$3310%10%10th90th$126$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
$72.44 / $83.18 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $204.17 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $83.18 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $190.55 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $41.69 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $102.33 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $302.00 / $512.86
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $74.13 / $125.89
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $199.53 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $288.40 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $74.13 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $218.78 / $398.11
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $281.84 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $67.61 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $213.80 / $389.05