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New York rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.13 / $58.32 / $110.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.66 / $219.65 / $575.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $51.59 / $127.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.90 / $146.90 / $276.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.81 / $89.95 / $102.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.42 / $38.03 / $97.36
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.80 / $58.80 / $58.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.55 / $169.35 / $515.55
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.62 / $55.28 / $114.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.93 / $110.55 / $357.53
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $127.38 / $196.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.02 / $54.02 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.97 / $300.51 / $726.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.90 / $69.97 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.94 / $222.93 / $485.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.75 / $197.28 / $372.59
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.34 / $60.57 / $105.87
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.84 / $117.60 / $205.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.24 / $201.69 / $274.76
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.56 / $67.84 / $98.82
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.90 / $146.78 / $219.02
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.22 / $142.22 / $142.22
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.22 / $171.14 / $321.02
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.21 / $56.62 / $114.58
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.02 / $54.02 / $54.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $243.74 / $631.73
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.54 / $67.05 / $142.00
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.59 / $155.10 / $404.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.74 / $188.66 / $404.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.43 / $51.52 / $115.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.89 / $122.26 / $302.27
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.13 / $55.13 / $186.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.01 / $217.59 / $360.71
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.56 / $72.54 / $128.72
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.17 / $138.66 / $231.98