go back

Utah rates for HCPCS 72130

Ct Thoracic Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.01 / $70.01 / $70.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.79 / $405.86 / $645.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.69 / $70.01 / $134.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.89 / $372.00 / $709.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.28 / $78.38 / $153.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $134.39 / $202.90
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$324.95 / $324.95 / $324.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.38 / $350.00 / $558.10
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.73 / $103.55 / $135.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $301.18 / $467.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.66 / $61.18 / $108.00