CT angiography of upper extremity with and without contrast

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Cta Upper Extrem W/Wo Contrast

Payers reporting CPT 73206

Payer pricing summary

Low

$178

Average

$1.1k

Median

$897

High

$4.2k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	492	$469	$653	$780	120%	5–50	$1 – $14.6k
2	Bcbs Al facility · other · outpatient · +4 other terms	6	$522	$531	$78	15%	5–50	$414 – $667
3	Anthem fee schedule · outpatient · +32 other terms	190	$542	$438	$374	86%	4–40	$4 – $2.2k
4	Medicare other · both · +22 other terms	42	$186	$214	$150	70%	4–40	$163 – $1.4k
5	Aetna fee schedule · outpatient · +38 other terms	595	$307	$827	$950	115%	2–20	$1 – $8.4k
6	Humana fee schedule · outpatient · +34 other terms	414	$207	$575	$880	153%	2–20	$1 – $6.6k
7	UnitedHealthcare fee schedule · outpatient · +38 other terms	743	$335	$426	$490	115%	1–10	$1 – $7.2k
8	Cigna fee schedule · outpatient · +33 other terms	322	$498	$735	$882	120%	1–10	$47 – $10.5k
9	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$409	$409	—	—	1–10	$409 – $409
10	Molina fee schedule · outpatient · +33 other terms	246	$224	$256	$154	60%	—	$1 – $1.2k
11	WellCare fee schedule · outpatient · +25 other terms	195	$190	$242	$150	62%	—	$89 – $1.2k
12	Ambetter fee schedule · outpatient · +24 other terms	116	$278	$271	$172	63%	—	$40 – $1.4k
13	Tricare facility · fee schedule · outpatient · +19 other terms	100	$176	$279	$512	184%	—	$49 – $4.6k
14	Devoted facility · fee schedule · outpatient · +19 other terms	94	$170	$199	$297	149%	—	$152 – $4.9k
15	Caresource fee schedule · outpatient · +21 other terms	93	$267	$453	$297	66%	—	$1 – $1.2k
16	MultiPlan fee schedule · outpatient · +22 other terms	90	$1.8k	$1.6k	$1.7k	105%	—	$109 – $7.6k
17	Aetna Better Health fee schedule · outpatient · +19 other terms	85	$195	$223	$128	57%	—	$93 – $927
18	Kaiser fee schedule · outpatient · +28 other terms	81	$292	$381	$256	67%	—	$84 – $1.6k
19	Highmark facility · fee schedule · outpatient · +22 other terms	75	$314	$518	$618	119%	—	$62 – $3.0k
20	Optum facility · fee schedule · outpatient · +23 other terms	67	$170	$204	$125	61%	—	$151 – $1.1k
21	Oscar facility · fee schedule · outpatient · +24 other terms	54	$259	$271	$74	27%	—	$163 – $414
22	Medicaid facility · fee schedule · outpatient · +19 other terms	53	$194	$210	$98	47%	—	$101 – $621
23	Cigna Healthspring fee schedule · outpatient · +11 other terms	41	$184	$198	$45	23%	—	$163 – $355
24	First Health fee schedule · outpatient · +22 other terms	41	$183	$866	$1.8k	212%	—	$100 – $7.9k
25	Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms	39	$211	$323	$176	54%	—	$171 – $854

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