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Maryland rates for HCPCS 72125

Ct Cervical Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.28 / $54.98 / $80.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.65 / $225.18 / $701.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.81 / $52.59 / $168.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.16 / $155.21 / $314.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $229.93 / $298.91
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.10 / $55.48 / $70.13
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.79 / $174.71 / $227.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.63 / $250.00 / $408.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.54 / $60.88 / $110.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.37 / $173.08 / $302.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.58 / $176.19 / $296.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.61 / $56.69 / $97.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.34 / $115.25 / $221.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.46 / $194.67 / $423.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.40 / $54.00 / $93.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.25 / $128.76 / $256.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.26 / $148.28 / $192.76
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.79 / $49.58 / $64.45
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.47 / $98.70 / $126.18