go back

Michigan rates for HCPCS 72126

Ct Cervical Spine W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.25 / $74.25 / $88.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $258.79 / $450.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $74.25 / $158.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $169.69 / $377.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.93 / $67.67 / $84.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.15 / $204.37 / $281.01
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.07 / $91.07 / $91.07
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
$198.87 / $342.90 / $539.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.10 / $69.87 / $142.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.41 / $238.54 / $402.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.71 / $74.25 / $88.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.14 / $229.46 / $412.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.71 / $73.45 / $130.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.84 / $181.75 / $316.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $116.15 / $192.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.92 / $273.63 / $395.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.82 / $63.91 / $100.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.49 / $194.43 / $297.22