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Massachusetts rates for HCPCS 72126

Ct Cervical Spine W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.23 / $45.23 / $168.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.39 / $282.06 / $377.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.23 / $58.50 / $133.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.89 / $214.72 / $291.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.18 / $417.20 / $525.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.27 / $366.24 / $1,938.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.77 / $87.42 / $434.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.06 / $276.89 / $1,624.23
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.23 / $107.55 / $145.24
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$292.83 / $378.41 / $599.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.69 / $385.00 / $664.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.34 / $86.20 / $176.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.91 / $297.95 / $530.44
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $173.21 / $321.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $393.98 / $558.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.95 / $144.33 / $185.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.08 / $282.12 / $366.32
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.02 / $107.01 / $179.97
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$417.20 / $525.76 / $525.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.40 / $383.64 / $1,938.85
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.08 / $92.58 / $434.24
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.01 / $291.22 / $1,624.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.49 / $283.74 / $528.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.77 / $74.04 / $143.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.05 / $217.68 / $413.57