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California rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.90 / $55.76 / $290.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.43 / $256.77 / $982.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.88 / $56.90 / $224.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.93 / $201.03 / $418.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.64 / $139.12 / $272.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.97 / $60.68 / $106.22
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.80 / $58.80 / $58.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.76 / $321.82 / $582.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.31 / $74.27 / $139.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.25 / $247.40 / $449.35
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.09 / $205.52 / $509.89
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.42 / $61.23 / $144.03
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $145.32 / $367.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.02 / $54.02 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.97 / $264.36 / $506.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.76 / $62.00 / $133.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.46 / $187.94 / $385.22
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.34 / $168.56 / $227.56
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.33 / $52.29 / $70.59
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.01 / $116.27 / $156.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.80 / $174.61 / $284.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.25 / $62.75 / $109.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.63 / $134.44 / $217.99
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$430.56 / $430.56 / $442.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.32 / $1,657.60 / $1,657.60
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$379.76 / $379.76 / $379.76
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,345.00 / $1,357.90 / $1,357.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $101.49
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.02 / $54.02 / $54.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.71 / $290.37 / $450.77
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.76 / $60.87 / $132.12
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.46 / $193.28 / $363.06
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.78 / $515.78 / $515.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.91 / $162.91 / $162.91
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$352.87 / $352.87 / $352.87
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.33 / $187.45 / $567.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.75 / $202.01 / $464.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.50 / $54.80 / $121.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.19 / $147.94 / $328.07