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Alaska rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.71 / $262.70 / $369.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.75 / $272.73 / $565.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $62.47 / $231.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.61 / $221.14 / $372.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.20 / $476.19 / $700.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.64 / $152.57 / $210.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.56 / $313.08 / $490.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.63 / $383.85 / $903.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.23 / $154.68 / $343.64
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.62 / $246.48 / $499.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.50 / $632.50 / $974.46
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$175.00 / $189.00 / $317.37
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.50 / $453.75 / $657.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $497.43 / $974.46
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.00 / $213.00 / $317.37
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$321.25 / $453.75 / $732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.42 / $566.13 / $961.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.00 / $210.78 / $335.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.89 / $355.35 / $649.83