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Pennsylvania 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
$66.63 / $87.29 / $213.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.71 / $216.23 / $384.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.94 / $61.24 / $84.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.68 / $105.68 / $211.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.31 / $46.33 / $46.33
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.46 / $202.84 / $202.84
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.07 / $62.34 / $118.60
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
$186.41 / $377.98 / $670.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.61 / $73.69 / $119.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.84 / $312.95 / $986.61
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.76 / $78.94 / $124.56
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.14 / $71.94 / $76.83
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.63 / $111.07 / $217.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.71 / $248.94 / $662.62
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $66.63 / $153.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.90 / $202.11 / $370.60
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.83 / $69.05 / $69.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.62 / $361.86 / $649.30
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.80 / $72.97 / $122.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.73 / $59.73 / $68.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.86 / $198.83 / $406.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.18 / $59.77 / $68.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.17 / $293.25 / $473.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.38 / $70.78 / $120.62