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Maryland rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.28 / $54.98 / $80.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.92 / $231.53 / $732.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.81 / $51.59 / $163.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.64 / $140.40 / $306.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.58 / $225.47 / $293.11
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.90 / $55.10 / $68.20
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.36 / $173.57 / $225.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.74 / $244.89 / $408.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.54 / $60.87 / $109.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.24 / $171.19 / $302.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.88 / $175.29 / $295.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.61 / $56.69 / $97.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.64 / $114.35 / $219.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.17 / $188.82 / $360.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.05 / $54.00 / $95.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.19 / $132.80 / $271.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.70 / $147.51 / $191.76
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.79 / $49.58 / $64.45
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.91 / $97.93 / $125.19