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Ohio rates for HCPCS 73702

Ct Lower Extremity W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.18 / $88.92 / $200.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.58 / $284.33 / $622.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $58.71 / $105.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.32 / $220.00 / $489.53
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
$41.81 / $75.31 / $89.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.59 / $268.56 / $449.98
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.59 / $67.84 / $120.57
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.82 / $204.00 / $339.23
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.02 / $211.02 / $211.02
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.48 / $63.48 / $63.48
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.52 / $147.52 / $147.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $137.52 / $217.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.58 / $65.64 / $65.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.20 / $326.89 / $611.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.88 / $76.79 / $131.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.72 / $253.66 / $477.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.58 / $59.58 / $65.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.20 / $320.14 / $611.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.57 / $78.02 / $131.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.52 / $226.62 / $474.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.46 / $162.86 / $261.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.05 / $283.62 / $511.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.16 / $70.05 / $135.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.97 / $231.08 / $387.91