go back

California rates for HCPCS 73702

Ct Lower Extremity W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.74 / $58.71 / $351.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.38 / $353.52 / $1,093.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $60.72 / $172.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.50 / $298.10 / $624.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.34 / $147.34 / $147.34
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.24 / $45.53 / $89.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.64 / $454.75 / $838.79
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.69 / $78.34 / $154.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.06 / $376.68 / $669.99
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.68 / $346.73 / $819.31
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.74 / $73.30 / $174.10
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.73 / $273.80 / $652.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.64 / $65.64 / $65.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.08 / $368.75 / $771.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.94 / $68.38 / $161.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.91 / $296.06 / $613.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.47 / $257.38 / $347.46
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.79 / $63.39 / $85.58
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.68 / $193.98 / $261.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.36 / $259.14 / $444.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.12 / $76.06 / $123.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.56 / $224.34 / $363.77
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$522.72 / $522.72 / $537.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.70 / $2,082.64 / $2,082.64
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$381.41 / $381.41 / $456.90
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,705.05 / $1,754.89 / $1,802.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $185.16
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.64 / $65.64 / $65.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.02 / $404.88 / $679.86
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.29 / $65.56 / $160.87
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.91 / $297.55 / $591.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.60 / $778.60 / $778.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$197.31 / $197.31 / $197.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$581.28 / $581.28 / $581.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.16 / $286.22 / $743.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.24 / $300.68 / $673.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.30 / $66.34 / $153.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.47 / $236.44 / $556.13