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Missouri 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
$102.51 / $123.38 / $203.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.69 / $328.65 / $1,361.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.48 / $102.51 / $444.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$219.77 / $219.77 / $219.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.33 / $220.14 / $975.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.04 / $93.09 / $147.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.20 / $366.50 / $784.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.00 / $109.23 / $198.89
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$400.80 / $549.75 / $1,176.16
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.95 / $263.93 / $606.35
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
$290.20 / $493.24 / $866.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.84 / $127.08 / $223.53
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$458.57 / $458.57 / $458.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.89 / $362.28 / $664.17
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$649.67 / $833.76 / $833.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.90 / $537.01 / $2,878.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.56 / $128.25 / $561.99
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.06 / $423.84 / $2,400.63
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.13 / $162.13 / $162.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.24 / $469.17 / $817.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $112.08 / $209.35
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.44 / $335.23 / $596.78