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Alaska rates for HCPCS 72129

Ct Thoracic Spine W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.26 / $181.26 / $322.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.68 / $347.89 / $684.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $61.64 / $257.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.91 / $286.25 / $426.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.02 / $597.98 / $706.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.32 / $186.67 / $214.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.71 / $383.90 / $519.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.88 / $502.65 / $1,125.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.10 / $170.39 / $420.75
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.44 / $335.76 / $681.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.50 / $805.00 / $1,249.42
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$215.00 / $232.20 / $386.66
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$432.50 / $587.50 / $851.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.50 / $653.75 / $1,238.19
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.67 / $259.50 / $386.66
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$438.75 / $587.50 / $948.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.38 / $717.57 / $1,812.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.99 / $256.89 / $563.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.50 / $460.68 / $1,249.00