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Alaska rates for HCPCS 72125

Computed tomography, cervical spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.36 / $208.93 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $263.03 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $67.61 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $169.82 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $478.63 / $707.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $162.18 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $323.59 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.36 / $208.93 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $660.69
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $138.04 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $239.88 / $416.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.78 / $199.53 / $316.23
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $457.09 / $660.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $478.63
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $138.04 / $208.93
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $295.12 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $1,445.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $208.93 / $489.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $363.08 / $1,148.15