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Maine rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Facilitymedian $69 · 10th–90th $69$690%50%100%$69Professionalmedian $158 · 10th–90th $62$3720%5%10th90th$158$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $74.13 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $154.88 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $245.47 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $83.18 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $165.96 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $83.18 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $263.03 / $446.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $89.13 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $169.82 / $323.59
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $295.12 / $616.60
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $77.62 / $147.91
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $199.53 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $87.10 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $218.78 / $389.05