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Tennessee 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 / $97.72 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $213.80 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $85.11 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $204.17 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $257.04 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $51.29 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $144.54 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $229.09 / $467.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $87.10 / $138.04
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $239.88 / $371.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $302.00 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $77.62 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $229.09 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$501.19 / $501.19 / $501.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$380.19 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $416.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $66.07 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $199.53 / $302.00