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Florida rates for HCPCS 72125

Computed tomography, cervical spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $51.29 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $52.48 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $125.89 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $100.00 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $52.48 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $58.88 / $134.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $53.70 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $199.53 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $57.54 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $141.25 / $309.03
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $56.23 / $56.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $186.21 / $302.00
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $53.70 / $75.86
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $125.89 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $66.07 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $181.97 / $338.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $46.77 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $128.82 / $245.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $35.48 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $66.07 / $81.28