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North Dakota rates for HCPCS 72130

Ct Thoracic Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.69 / $44.69 / $102.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.04 / $217.50 / $342.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.69 / $61.24 / $81.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.80 / $490.91 / $514.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.70 / $145.25 / $151.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.05 / $69.05 / $69.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.37 / $430.54 / $712.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.52 / $110.86 / $153.66
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$565.04 / $565.04 / $565.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.06 / $520.50 / $2,293.84
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.06 / $121.26 / $523.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.46 / $464.53 / $586.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.22 / $116.54 / $159.16