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Washington rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $70.79 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $245.47 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $61.66 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $147.91 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $181.97 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $81.28 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $165.96 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $269.15 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $70.79 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $186.21 / $371.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $93.33 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $316.23 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $89.13 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $229.09 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $57.54
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.62 / $93.33 / $95.50
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $83.18 / $102.33
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $218.78 / $302.00
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $64.57 / $64.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $398.11
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $102.33 / $134.90
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $199.53 / $257.04
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $389.05
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $100.00 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $186.21 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $208.93 / $416.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $53.70 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $147.91 / $295.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $154.88 / $257.04
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $53.70 / $89.13
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $100.00 / $165.96