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Illinois rates for HCPCS 72125

Ct Cervical Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.42 / $77.16 / $92.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $221.75 / $382.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.20 / $62.65 / $229.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.21 / $148.06 / $231.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $95.13 / $125.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.90 / $39.77 / $63.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.94 / $153.83 / $270.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.76 / $62.76 / $62.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $215.37 / $426.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.40 / $65.94 / $99.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.00 / $143.02 / $320.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.90 / $237.83 / $1,284.82
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.52 / $82.43 / $363.98
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.48 / $146.38 / $924.51
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.56 / $159.85 / $171.77
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.10 / $58.18 / $61.23
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.37 / $102.75 / $110.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $64.06 / $179.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.76 / $249.61 / $393.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.02 / $64.45 / $104.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.86 / $181.59 / $274.16