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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
$52.48 / $75.86 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $60.26 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $120.23 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $199.53 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $52.48 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $194.98 / $251.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $58.88 / $75.86
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $138.04 / $177.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $102.33 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $281.84 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $72.44 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $194.98 / $331.13
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $257.04
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $89.13 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $416.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $57.54 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $144.54 / $288.40