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North Dakota rates for HCPCS 72125

Ct Cervical Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.22 / $35.22 / $80.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.87 / $220.81 / $325.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.43 / $46.89 / $147.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.65 / $148.06 / $227.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.38 / $321.33 / $336.98
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.05 / $113.60 / $118.74
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.33 / $207.72 / $217.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.02 / $54.02 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.99 / $281.80 / $488.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.68 / $87.54 / $124.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.46 / $199.35 / $383.10
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$442.24 / $442.24 / $442.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.68 / $353.78 / $1,609.32
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.75 / $107.86 / $379.76
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.18 / $238.09 / $1,331.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.07 / $313.92 / $553.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.92 / $92.71 / $134.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.82 / $223.72 / $373.87