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Arkansas rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.63 / $74.87 / $105.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.96 / $221.75 / $382.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $62.42 / $124.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.37 / $177.61 / $291.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.49 / $198.46 / $219.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.89 / $74.44 / $86.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.50 / $63.50 / $63.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.67 / $227.21 / $252.46
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.55 / $68.23 / $75.81
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.12 / $158.99 / $176.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.04 / $82.88 / $149.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.35 / $275.27 / $447.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.77 / $73.26 / $103.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.62 / $186.17 / $328.20
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.96 / $228.23 / $251.99
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.90 / $89.07 / $99.46
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.03 / $73.03 / $73.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.76 / $246.05 / $366.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.42 / $58.10 / $98.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.61 / $168.92 / $237.30