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Delaware rates for HCPCS 73702

Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $75.86 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $257.04 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $64.57 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $213.80 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $363.08 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $67.61 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $269.15 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $72.44 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $316.23 / $575.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $63.10 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $263.03 / $489.78