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Delaware rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.23 / $53.73 / $124.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.70 / $219.65 / $272.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $48.62 / $116.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.25 / $146.90 / $201.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.02 / $246.82 / $360.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.21 / $58.14 / $86.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.33 / $169.92 / $295.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.57 / $233.18 / $233.18
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.05 / $59.05 / $488.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.10 / $204.56 / $352.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.33 / $64.83 / $112.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.48 / $201.59 / $281.44