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
$57.54 / $57.54 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $57.54 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $131.83 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $37.15 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $151.36 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $48.98 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $102.33 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $380.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $64.57 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $158.49 / $309.03
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $169.82 / $223.87
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.62 / $54.95 / $74.13
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $109.65 / $147.91
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $194.98
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.62 / $0.62 / $69.18
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $89.13 / $125.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $45.71 / $45.71
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $346.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $45.71 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $125.89 / $275.42