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Missouri rates for HCPCS 72129

Computed tomography, thoracic spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.64 / $80.65 / $132.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.49 / $275.00 / $971.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $67.73 / $240.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.66 / $203.47 / $723.43
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.55 / $60.17 / $95.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.69 / $263.64 / $595.57
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.47 / $77.56 / $127.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.22 / $187.17 / $482.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.34 / $66.34 / $66.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $295.98 / $536.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.48 / $82.25 / $144.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.44 / $206.25 / $418.90
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$419.92 / $542.79 / $542.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.94 / $346.54 / $1,884.77
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.64 / $84.07 / $434.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.50 / $268.82 / $1,950.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.95 / $279.98 / $509.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.49 / $71.62 / $124.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.30 / $192.50 / $328.26