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Colorado rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $63.10 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $70.79 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $154.88 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $77.62 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $173.78 / $363.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $288.40 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $70.79 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $204.17 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $89.13 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $186.21 / $1,288.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $263.03
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $57.54 / $117.49
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $120.23 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $524.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $79.43 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $239.88 / $389.05