go back

West Virginia rates for HCPCS 73701

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

Facilitymedian $63 · 10th–90th $56$760%20%40%10th90th$63Professionalmedian $120 · 10th–90th $55$2820%20%10th90th$120$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
$57.54 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $102.33 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $165.96 / $251.19
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $158.49 / $354.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $323.59 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $79.43 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $269.15 / $870.96
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $95.50 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $295.12 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $64.57 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $208.93 / $426.58