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Virginia rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.81 / $71.06 / $165.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.38 / $167.73 / $351.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.81 / $51.15 / $110.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.87 / $110.84 / $221.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $156.02 / $257.94
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.02 / $54.14 / $84.22
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.98 / $101.00 / $176.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.58 / $225.47 / $891.04
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.90 / $57.61 / $76.70
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.36 / $173.57 / $220.43
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
$112.44 / $276.08 / $426.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.26 / $66.14 / $121.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.94 / $197.68 / $334.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.38 / $150.74 / $185.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $52.06 / $62.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.24 / $99.89 / $122.41
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.19 / $96.00 / $171.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.97 / $201.38 / $390.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.01 / $246.27 / $434.98
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.60 / $70.19 / $106.48
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.31 / $193.55 / $288.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.86 / $214.57 / $394.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.35 / $61.14 / $101.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.96 / $148.46 / $310.47