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Tennessee rates for HCPCS 72128

Ct Thoracic Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $98.00 / $233.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.99 / $272.73 / $387.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.63 / $55.00 / $116.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.01 / $207.11 / $227.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.07 / $202.07 / $202.07
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.79 / $47.83 / $108.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.90 / $276.01 / $396.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.49 / $77.68 / $119.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.61 / $198.19 / $288.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.19 / $49.19 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.02 / $262.88 / $434.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.17 / $71.12 / $114.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.19 / $187.54 / $324.25
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$430.56 / $430.56 / $442.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.32 / $1,657.60 / $1,657.60
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$379.76 / $379.76 / $379.76
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,318.35 / $1,357.90 / $1,357.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.41 / $243.53 / $347.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.46 / $60.71 / $114.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.27 / $168.40 / $244.79