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Virginia rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.41 / $73.06 / $222.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.27 / $227.81 / $422.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $61.07 / $105.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.89 / $165.56 / $281.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.50 / $204.37 / $337.22
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.10 / $65.59 / $101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.94 / $139.30 / $232.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.47 / $282.80 / $1,041.42
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.79 / $63.79 / $81.01
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.68 / $219.01 / $278.14
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
$146.80 / $329.70 / $527.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.74 / $75.45 / $137.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.62 / $249.65 / $402.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.56 / $196.27 / $241.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.48 / $63.60 / $77.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.07 / $134.49 / $164.81
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.41 / $100.00 / $180.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $248.00 / $468.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.72 / $287.10 / $511.42
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.57 / $81.61 / $129.22
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.77 / $216.56 / $338.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.50 / $269.19 / $469.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.43 / $74.50 / $116.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.84 / $181.71 / $383.73