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Rhode Island rates for HCPCS 72125

Computed tomography, cervical spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $257.04 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $51.29 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $169.82 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $354.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $60.26 / $104.71
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $107.15 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $275.42 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $93.33 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $190.55 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $331.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $58.88 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $158.49 / $234.42