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Virginia rates for HCPCS 72129

Ct Thoracic Spine W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.74 / $92.09 / $201.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.59 / $229.23 / $410.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $62.25 / $120.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.85 / $166.98 / $299.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.72 / $205.54 / $339.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.86 / $65.98 / $101.52
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.86 / $137.94 / $232.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.36 / $282.80 / $1,042.31
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.79 / $63.79 / $81.01
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.11 / $219.01 / $278.14
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 / $331.70 / $530.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.03 / $75.45 / $137.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.54 / $252.30 / $402.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.19 / $198.23 / $244.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.80 / $63.99 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.38 / $136.06 / $166.74
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.41 / $100.00 / $181.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.12 / $249.00 / $468.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.72 / $287.10 / $511.97
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.57 / $81.61 / $129.22
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.19 / $218.43 / $338.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.65 / $271.20 / $463.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.98 / $74.29 / $112.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.98 / $199.53 / $371.39