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Kentucky rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.89 / $53.57 / $95.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.82 / $221.75 / $410.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.89 / $54.39 / $173.60
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$63.41 / $66.95 / $137.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.92 / $152.30 / $306.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.38 / $131.78 / $178.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.88 / $51.10 / $61.71
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.68 / $71.78 / $79.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.68 / $199.44 / $327.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.66 / $58.32 / $90.76
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.00 / $131.02 / $240.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.45 / $89.73 / $166.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.64 / $58.64 / $58.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.13 / $304.68 / $509.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.72 / $80.20 / $123.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.41 / $223.16 / $393.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $166.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $224.84 / $328.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.37 / $59.19 / $88.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.09 / $175.11 / $239.80