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West Virginia rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.74 / $54.71 / $90.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.04 / $148.65 / $272.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.91 / $99.18 / $102.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.48 / $97.20 / $221.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.17 / $126.90 / $267.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.02 / $54.02 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.02 / $306.05 / $1,199.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.06 / $71.84 / $266.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.93 / $223.13 / $711.96
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.83 / $81.79 / $127.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.24 / $266.60 / $546.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $70.58 / $121.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.87 / $215.47 / $424.74