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Texas rates for HCPCS 73701

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $54.95 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $204.17 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $72.44 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $151.36 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $52.48 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $102.33 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $131.83 / $194.98
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $309.03
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $102.33 / $102.33
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
$154.88 / $257.04 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $69.18 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $190.55 / $380.19
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
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $52.48 / $70.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $263.03 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $72.44 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $173.78 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $138.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $158.49 / $436.52
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $61.66 / $89.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $478.63
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $64.57 / $107.15
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $177.83 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $416.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $58.88 / $104.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $177.83 / $309.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $199.53
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $54.95 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $107.15 / $134.90