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Wisconsin rates for HCPCS 73701

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

Facilitymedian $145 · 10th–90th $107$5010%10%20%10th90th$145Professionalmedian $158 · 10th–90th $56$4790%5%10%10th90th$158$10.0$50.0$200.0$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
$107.15 / $107.15 / $114.82
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
$53.70 / $107.15 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $181.97 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $316.23 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $85.11 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $229.09 / $660.69
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $138.04 / $208.93
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $169.82 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $467.74 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $128.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $316.23 / $478.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $575.44
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $120.23 / $162.18
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $251.19 / $426.58
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $446.68 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $120.23 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $323.59 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $380.19
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $457.09 / $758.58
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $128.82 / $208.93
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $363.08 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $416.87 / $933.25
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $501.19 / $501.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $933.25 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $288.40 / $380.19
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $741.31 / $1,380.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $1,445.44
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $194.98 / $316.23
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $537.03 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $338.84 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $257.04 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $263.03 / $524.81