go back

Nevada rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.08 / $57.01 / $68.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.78 / $247.93 / $986.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.25 / $72.75 / $247.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.09 / $177.61 / $418.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.19 / $125.19 / $125.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.07 / $66.72 / $98.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.63 / $166.94 / $232.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.76 / $51.08 / $75.36
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.86 / $112.77 / $179.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.51 / $226.35 / $391.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.26 / $64.34 / $90.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.16 / $160.31 / $337.02
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $183.26 / $280.10
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.61 / $59.93 / $80.68
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.73 / $109.02 / $218.75
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $127.52 / $194.96
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.61 / $46.10 / $69.15
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.73 / $89.34 / $125.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.36 / $202.33 / $340.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.50 / $49.70 / $93.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.10 / $133.19 / $276.75