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Wyoming 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
$54.74 / $54.74 / $55.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.99 / $258.51 / $447.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $58.71 / $77.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.72 / $189.38 / $388.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.00 / $852.00 / $852.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$146.00 / $240.00 / $240.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$372.00 / $612.00 / $612.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $421.40 / $767.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.27 / $89.71 / $160.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.27 / $308.43 / $594.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.65 / $456.93 / $1,251.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.99 / $117.59 / $188.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.05 / $306.77 / $940.49