go back

Wisconsin rates for HCPCS 72130

Ct Thoracic Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.18 / $125.91 / $125.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $278.17 / $459.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.89 / $67.40 / $134.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.81 / $509.51 / $1,563.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.59 / $139.31 / $457.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$157.69 / $184.28 / $244.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.51 / $717.27 / $815.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.27 / $211.17 / $239.96
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
$267.64 / $671.77 / $2,293.84
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.45 / $165.44 / $523.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $157.40 / $377.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.25 / $589.15 / $1,385.35
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$143.44 / $565.04 / $565.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.10 / $1,258.34 / $2,293.84
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.94 / $313.14 / $523.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.47 / $1,278.08 / $1,278.08
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$209.56 / $218.48 / $342.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.46 / $580.16 / $1,070.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.36 / $146.16 / $311.73