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Louisiana rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $60 · 10th–90th $55$790%20%40%10th90th$60Professionalmedian $105 · 10th–90th $46$2750%5%10th90th$105$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$54.95 / $60.26 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $186.21 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $56.23 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $120.23 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $45.71 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $194.98 / $288.40
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $67.61 / $85.11
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $128.82 / $204.17
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $46.77 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $346.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $57.54 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $120.23 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $173.78 / $338.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $51.29 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $117.49 / $223.87