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Pennsylvania rates for HCPCS 72131

Ct Lumbar Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.72 / $59.09 / $103.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.05 / $218.10 / $872.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $52.46 / $158.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.56 / $121.07 / $276.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.81 / $101.30 / $124.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.15 / $54.68 / $81.50
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.54 / $64.13 / $537.76
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.73 / $132.55 / $477.47
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.00 / $76.17 / $134.72
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.73 / $118.80 / $374.98
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
$123.37 / $245.80 / $461.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.71 / $62.04 / $97.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.78 / $167.00 / $334.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.21 / $202.72 / $674.83
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.38 / $61.75 / $97.55
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.60 / $120.31 / $171.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.91 / $163.81 / $167.09
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.51 / $61.43 / $101.87
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$150.51 / $150.51 / $150.51
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.54 / $60.85 / $114.38
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.45 / $65.67 / $155.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.70 / $181.95 / $732.67
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.18 / $59.85 / $151.69
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.25 / $115.00 / $298.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.65 / $122.99 / $325.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.97 / $54.02 / $54.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.81 / $241.27 / $428.31
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.54 / $62.50 / $100.37
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.78 / $166.54 / $323.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.50 / $46.50 / $62.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $128.69 / $289.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.37 / $46.50 / $62.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.40 / $82.19 / $227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.78 / $194.69 / $333.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.18 / $56.38 / $93.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.48 / $130.87 / $248.30