go back

Louisiana rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.80 / $64.00 / $78.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.26 / $264.64 / $320.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $60.00 / $100.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.69 / $201.03 / $240.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.82 / $126.82 / $126.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.45 / $46.72 / $86.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $215.06 / $314.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.32 / $76.63 / $91.58
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.09 / $143.56 / $223.17
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.78 / $42.78 / $45.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.40 / $161.59 / $336.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.71 / $55.85 / $95.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.69 / $101.04 / $251.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.18 / $188.82 / $352.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.07 / $54.46 / $90.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.06 / $118.33 / $223.33