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Indiana rates for HCPCS 73706

Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.69 / $90.69 / $139.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.88 / $300.92 / $438.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.86 / $90.69 / $120.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.48 / $212.80 / $350.77
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.40 / $82.71 / $124.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.12 / $343.90 / $515.85
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.80 / $78.90 / $122.29
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$412.68 / $515.85 / $773.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.00 / $265.00 / $397.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.88 / $246.06 / $399.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.96 / $101.96 / $101.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.43 / $509.89 / $882.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.19 / $109.38 / $198.14
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$458.57 / $458.57 / $523.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.86 / $384.52 / $719.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.81 / $454.08 / $745.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.52 / $101.14 / $186.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.73 / $343.41 / $563.62