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Michigan rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Facilitymedian $76 · 10th–90th $74$930%50%10th90th$76Professionalmedian $170 · 10th–90th $59$4070%5%10th90th$170$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $275.42 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $85.11 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $186.21 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $81.28 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $257.04 / $275.42
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $323.59 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $75.86 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $204.17 / $380.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $75.86 / $138.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $275.42 / $549.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $74.13 / $169.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $199.53 / $436.52
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $275.42 / $549.54
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $72.44 / $107.15
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $181.97 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $257.04 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $72.44 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $186.21 / $338.84