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Oklahoma rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $69 · 10th–90th $54$2950%20%10th90th$69Professionalmedian $107 · 10th–90th $46$2510%5%10%10th90th$107$10.0$50.0$200.0$1.0K$5.0K

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
$53.70 / $69.18 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $177.83 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $61.66 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $117.49 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $43.65 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $128.82 / $177.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $53.70 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $208.93 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $53.70 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $154.88 / $245.47
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $446.68 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $194.98 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $56.23 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $158.49 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $173.78 / $323.59
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $51.29 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $117.49 / $234.42