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Ohio rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.90 / $68.50 / $165.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.78 / $171.00 / $414.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $60.59 / $173.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.87 / $122.80 / $314.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.95 / $101.30 / $124.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.43 / $57.58 / $81.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.96 / $134.96 / $134.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.43 / $236.87 / $438.32
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $62.58 / $113.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.09 / $177.58 / $328.52
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.63 / $140.63 / $154.93
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.26 / $52.26 / $57.58
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.37 / $88.37 / $97.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.72 / $97.36 / $164.55
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.19 / $54.02 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $232.15 / $437.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.06 / $64.77 / $109.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.94 / $157.26 / $323.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.19 / $49.19 / $54.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.97 / $218.20 / $441.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.01 / $70.87 / $144.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.38 / $138.30 / $303.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $115.99 / $179.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.13 / $195.42 / $352.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.68 / $58.74 / $103.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.27 / $133.46 / $244.40