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Delaware rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.79 / $74.88 / $152.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.38 / $282.06 / $347.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $54.26 / $64.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.96 / $229.59 / $264.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.02 / $319.89 / $425.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.89 / $63.16 / $105.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.32 / $218.43 / $357.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.47 / $295.47 / $295.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.79 / $270.69 / $444.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.91 / $68.56 / $136.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.84 / $176.87 / $336.65