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Virginia rates for HCPCS 73701

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

Facilitymedian $79 · 10th–90th $49$2190%10%10th90th$79Professionalmedian $148 · 10th–90th $55$3390%5%10th90th$148$10.0$50.0$200.0$1.0K$5.0K

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
$48.98 / $79.43 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $190.55 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $85.11 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $165.96 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $69.18 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $158.49 / $245.47
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $239.88 / $912.01
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $70.79 / $100.00
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $165.96 / $234.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $302.00 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $67.61 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $223.87 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $194.98 / $257.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $61.66 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $134.90 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $436.52 / $457.09
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $102.33 / $117.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $281.84
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $269.15 / $891.25
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $74.13 / $112.20
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $229.09 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $263.03 / $478.63
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $67.61 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $194.98 / $371.54