CT lower extremity scan with and without contrast dye

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

CT FEMUR W + W/O CONTRAST LEFT

Payers reporting CPT 73702

Payer pricing summary

Low

$130

Average

$1.5k

Median

$984

High

$10.4k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +4 other terms	4	$562	$472	$116	25%	13–130	$401 – $817
2	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	501	$445	$573	$671	117%	4–40	$1 – $10.3k
3	Humana fee schedule · outpatient · +36 other terms	411	$204	$463	$739	160%	2–20	$1 – $5.0k
4	Anthem fee schedule · outpatient · +35 other terms	189	$498	$348	$273	78%	1–10	$4 – $2.1k
5	UnitedHealthcare fee schedule · outpatient · +39 other terms	738	$327	$426	$648	152%	—	$1 – $11.5k
6	Aetna fee schedule · outpatient · +40 other terms	585	$287	$717	$850	119%	—	$1 – $8.4k
7	Cigna fee schedule · outpatient · +35 other terms	316	$430	$676	$654	97%	—	$32 – $7.2k
8	Molina fee schedule · outpatient · +36 other terms	239	$219	$236	$140	59%	—	$1 – $2.1k
9	WellCare fee schedule · outpatient · +26 other terms	194	$190	$220	$139	63%	—	$60 – $1.3k
10	Ambetter fee schedule · outpatient · +25 other terms	113	$285	$262	$193	74%	—	$58 – $1.5k
11	Tricare facility · fee schedule · outpatient · +21 other terms	95	$180	$239	$300	125%	—	$112 – $4.6k
12	MultiPlan fee schedule · outpatient · +23 other terms	94	$2.2k	$1.5k	$1.9k	134%	—	$74 – $11.0k
13	Caresource fee schedule · outpatient · +21 other terms	92	$228	$367	$279	76%	—	$1 – $1.5k
14	Devoted facility · fee schedule · outpatient · +20 other terms	90	$171	$214	$253	118%	—	$158 – $4.9k
15	Aetna Better Health fee schedule · outpatient · +19 other terms	85	$195	$208	$68	33%	—	$93 – $645
16	Kaiser fee schedule · outpatient · +28 other terms	81	$292	$326	$274	84%	—	$57 – $1.8k
17	Highmark facility · fee schedule · outpatient · +21 other terms	73	$284	$454	$534	118%	—	$43 – $2.6k
18	Optum facility · fee schedule · outpatient · +21 other terms	66	$177	$217	$158	73%	—	$156 – $1.1k
19	Medicaid facility · fee schedule · outpatient · +19 other terms	61	$166	$175	$71	41%	—	$93 – $437
20	Oscar facility · fee schedule · outpatient · +21 other terms	53	$256	$238	$45	19%	—	$163 – $330
21	Medica fee schedule · outpatient · +26 other terms	49	$476	$1.2k	$1.5k	124%	—	$53 – $7.4k
22	First Health fee schedule · outpatient · +21 other terms	42	$183	$626	$1.3k	206%	—	$68 – $7.9k
23	Cigna Healthspring fee schedule · outpatient · +11 other terms	41	$184	$194	$43	22%	—	$163 – $355
24	Medicare facility · fee schedule · outpatient · +21 other terms	40	$184	$297	$461	155%	—	$156 – $4.8k
25	Clover facility · fee schedule · outpatient · +13 other terms	35	$187	$223	$96	43%	—	$159 – $463

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