go back

California rates for HCPCS 72126

Ct Cervical Spine W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.68 / $58.30 / $353.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.48 / $315.56 / $1,031.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $62.84 / $251.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $259.87 / $601.24
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.77 / $74.80 / $92.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.79 / $383.35 / $711.35
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.69 / $78.47 / $152.52
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.11 / $310.37 / $571.65
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.46 / $289.80 / $685.91
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.11 / $73.79 / $178.04
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.22 / $214.81 / $508.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.98 / $65.98 / $65.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.01 / $326.01 / $649.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.70 / $68.52 / $162.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.63 / $246.36 / $504.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.08 / $220.20 / $297.27
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.77 / $63.85 / $86.20
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.31 / $156.35 / $211.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.89 / $222.60 / $413.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.48 / $76.62 / $133.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.57 / $180.86 / $293.25
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$525.76 / $525.76 / $540.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.38 / $1,938.85 / $1,938.85
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$434.24 / $434.24 / $459.75
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,576.92 / $1,624.23 / $1,624.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $145.24
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.98 / $65.98 / $65.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.92 / $352.64 / $571.21
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.53 / $66.45 / $159.80
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.80 / $256.51 / $483.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.16 / $651.16 / $651.16
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$198.51 / $198.51 / $198.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$452.65 / $452.65 / $452.65
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.08 / $244.86 / $618.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.72 / $258.04 / $586.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.30 / $63.06 / $152.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.64 / $188.00 / $420.83