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Rhode Island rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $245.47 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $60.26 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $169.82 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $354.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $60.26 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $107.15 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $275.42 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $89.13 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $190.55 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $331.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $57.54 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $158.49 / $234.42