go back

Wyoming rates for HCPCS 73701

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.47 / $52.47 / $53.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.72 / $221.00 / $348.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $55.67 / $73.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.27 / $154.96 / $292.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.00 / $727.00 / $727.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $230.00 / $230.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $497.00 / $497.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.09 / $359.49 / $687.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.17 / $95.53 / $166.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.13 / $264.45 / $481.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $379.62 / $887.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.39 / $106.54 / $188.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.51 / $265.38 / $708.40