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New York rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.86 / $73.06 / $156.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $261.10 / $509.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $62.25 / $154.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $186.91 / $372.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.22 / $81.50 / $84.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.42 / $238.46 / $666.07
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.21 / $63.91 / $137.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.19 / $168.90 / $500.90
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $173.21 / $257.08
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
$154.44 / $378.16 / $899.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.10 / $81.03 / $179.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.58 / $294.56 / $638.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.87 / $257.32 / $444.79
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.15 / $74.02 / $129.38
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.34 / $152.02 / $277.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.00 / $270.72 / $358.85
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.99 / $82.85 / $120.72
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.02 / $186.62 / $303.10
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.48 / $48.48 / $48.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.15 / $233.15 / $233.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.79 / $68.42 / $122.53
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.98 / $65.98 / $65.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.45 / $316.32 / $861.84
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.91 / $79.02 / $176.25
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.18 / $198.73 / $530.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.00 / $236.90 / $519.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.28 / $62.92 / $139.35
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.38 / $161.74 / $372.50
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.34 / $67.34 / $195.81
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.72 / $283.01 / $471.84
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.99 / $88.61 / $157.90
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.28 / $186.62 / $313.93