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Maryland 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
$75.86 / $93.33 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $165.96 / $416.87
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$512.86 / $1,047.13 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $239.88 / $562.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $478.63
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $112.20 / $123.03
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $338.84 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $457.09 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $100.00 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $338.84 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $100.00 / $134.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $288.40 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $95.50 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $323.59 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $323.59 / $436.52
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $104.71 / $134.90
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $218.78 / $295.12