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Alaska rates for HCPCS 72130

Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $75.86 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $208.93 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $562.34 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $177.83 / $281.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,445.44
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.87 / $239.88 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $831.76
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $194.98 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $2,754.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $269.15 / $891.25