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Arkansas rates for HCPCS 72125

Computed tomography, cervical spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.49 / $77.48 / $104.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.62 / $226.07 / $353.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $72.75 / $124.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.18 / $177.61 / $291.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.45 / $231.78 / $283.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.63 / $77.45 / $86.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.01 / $127.98 / $163.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $232.94 / $258.82
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.87 / $72.62 / $80.69
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.13 / $160.32 / $178.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.04 / $83.52 / $149.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.50 / $276.57 / $447.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.74 / $73.89 / $103.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.51 / $188.76 / $328.20
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.07 / $227.07 / $326.24
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.05 / $90.45 / $99.46
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.46 / $141.46 / $147.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.12 / $249.58 / $374.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.02 / $67.11 / $103.41
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.13 / $160.37 / $281.31