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Tennessee rates for HCPCS 72125

Computed tomography, cervical spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $98.00 / $248.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.22 / $275.00 / $444.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.49 / $55.00 / $145.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.22 / $217.98 / $257.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.99 / $202.57 / $305.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.79 / $50.44 / $94.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.26 / $59.26 / $123.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.54 / $280.73 / $404.67
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.70 / $79.36 / $124.31
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.49 / $197.33 / $289.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.36 / $52.36 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.86 / $274.01 / $432.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.84 / $73.14 / $118.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.00 / $190.91 / $324.25
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$430.56 / $430.56 / $442.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.32 / $1,657.60 / $1,657.60
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$379.76 / $379.76 / $379.76
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,331.00 / $1,357.90 / $1,357.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.41 / $245.94 / $352.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.69 / $61.16 / $118.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.13 / $154.04 / $257.72