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Maine rates for HCPCS 72130

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.50 / $264.12 / $356.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.51 / $64.00 / $72.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.84 / $283.20 / $418.12
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.42 / $81.00 / $123.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.20 / $397.90 / $640.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.97 / $96.39 / $134.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.38 / $288.52 / $541.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.78 / $88.79 / $160.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.51 / $264.12 / $356.86
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $67.17 / $103.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.64 / $369.81 / $544.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.70 / $90.67 / $149.83