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Nebraska 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
$55.19 / $295.86 / $498.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.65 / $189.65 / $1,353.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $55.19 / $342.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.46 / $134.46 / $1,010.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.03 / $59.03 / $75.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.50 / $370.38 / $392.57
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.12 / $108.08 / $114.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.38 / $262.30 / $278.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$318.95 / $318.95 / $318.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.30 / $442.33 / $640.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.12 / $126.93 / $162.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.18 / $313.43 / $480.03
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$537.20 / $537.20 / $537.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $473.50 / $2,082.64
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.45 / $117.00 / $381.41
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.11 / $349.36 / $1,754.89
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$187.71 / $193.17 / $318.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.27 / $531.83 / $672.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.23 / $181.58 / $324.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $423.12 / $529.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.45 / $113.81 / $143.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.11 / $309.17 / $396.38