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New Hampshire rates for HCPCS 72129

Computed tomography, thoracic spine; with contrast material

Facilitymedian $224 · 10th–90th $58$2240%50%10th$224Professionalmedian $174 · 10th–90th $62$3720%5%10th90th$174$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $269.15 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $70.79 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $181.97 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $407.38 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $131.83 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $263.03 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $407.38 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $102.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $275.42 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $309.03 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $102.33 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $204.17 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $338.84 / $616.60
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $91.20 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $229.09 / $407.38
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $47.86 / $57.54