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Utah rates for HCPCS 72127

Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $64.57 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $363.08 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $72.44 / $125.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $602.56
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $112.20 / $144.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $436.52
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $123.03 / $141.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $229.09 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $467.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $54.95 / $107.15