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Nebraska rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.39 / $146.65 / $412.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.61 / $321.81 / $896.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.75 / $66.12 / $184.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.97 / $128.13 / $276.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.89 / $80.33 / $105.80
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.14 / $75.14 / $75.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.62 / $245.44 / $260.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.23 / $88.95 / $93.56
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.38 / $156.47 / $166.06
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$262.50 / $262.50 / $262.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.62 / $294.05 / $446.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.42 / $104.44 / $133.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.21 / $187.85 / $287.56
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
$188.44 / $314.70 / $1,609.32
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.35 / $95.32 / $379.76
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.09 / $221.34 / $1,345.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$152.49 / $156.93 / $262.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $350.04 / $492.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $113.79 / $216.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.44 / $296.89 / $362.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.48 / $95.02 / $121.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.46 / $211.68 / $243.49