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Tennessee rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $97.72 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $245.47 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $63.10 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $162.18 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $44.67 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $107.15 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $380.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $77.62 / $120.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $177.83 / $288.40
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $69.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $190.55 / $316.23
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$426.58 / $426.58 / $426.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$380.19 / $380.19 / $380.19
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $354.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $58.88 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $158.49 / $239.88