go back

Wyoming rates for HCPCS 72129

Ct Thoracic Spine W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.33 / $55.33 / $56.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.13 / $225.80 / $358.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $58.71 / $78.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.57 / $155.38 / $299.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.00 / $741.00 / $741.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.00 / $243.00 / $243.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.00 / $498.00 / $498.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.86 / $353.51 / $644.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.68 / $90.63 / $160.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.66 / $245.85 / $469.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.39 / $385.89 / $920.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.99 / $109.66 / $188.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.35 / $265.38 / $732.59