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Minnesota rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.16 / $48.16 / $81.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.37 / $221.75 / $896.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.71 / $55.00 / $242.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.42 / $171.09 / $221.14
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.45 / $39.45 / $39.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.44 / $383.99 / $465.72
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.52 / $135.41 / $164.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.02 / $248.58 / $301.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.61 / $164.83 / $396.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.48 / $271.89 / $534.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.87 / $88.94 / $151.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.44 / $182.07 / $410.59
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.52 / $145.33 / $312.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.48 / $263.93 / $527.63
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.04 / $83.99 / $141.38
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.44 / $169.77 / $364.51
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$442.24 / $442.24 / $442.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.09 / $344.68 / $1,609.32
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.87 / $105.79 / $480.60
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.71 / $235.97 / $1,345.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.35 / $308.41 / $523.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.25 / $85.19 / $160.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.10 / $212.20 / $353.23