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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
$63.42 / $74.45 / $152.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.99 / $333.40 / $393.43
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $55.43 / $88.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.56 / $245.14 / $337.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.54 / $366.67 / $494.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.71 / $62.79 / $105.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.52 / $269.74 / $401.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.54 / $355.54 / $355.54
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.70 / $71.70 / $71.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $323.02 / $530.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.84 / $71.06 / $137.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.30 / $261.11 / $430.48