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Wyoming rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.06 / $55.06 / $56.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.91 / $224.14 / $357.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $58.30 / $77.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.66 / $154.11 / $299.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.00 / $735.00 / $735.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.00 / $241.00 / $241.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.00 / $494.00 / $494.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.86 / $353.51 / $644.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.68 / $90.24 / $160.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.07 / $243.00 / $468.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.83 / $383.09 / $920.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.70 / $109.66 / $188.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.10 / $262.58 / $732.59