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Idaho rates for HCPCS 72132

Computed tomography, lumbar spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.27 / $153.36 / $153.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.17 / $315.56 / $373.85
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $62.12 / $128.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.11 / $244.97 / $285.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.53 / $159.30 / $416.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.25 / $53.92 / $109.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.28 / $105.38 / $311.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.65 / $1,027.65 / $1,193.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$463.35 / $463.35 / $463.35
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$564.29 / $564.29 / $730.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.60 / $291.52 / $411.77
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.26 / $105.09 / $122.79
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.60 / $211.41 / $247.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $103.60 / $269.29
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $714.15 / $714.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.77 / $356.20 / $411.77
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.57 / $117.14 / $141.13
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.21 / $239.07 / $270.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.02 / $248.52 / $523.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.63 / $65.75 / $124.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.95 / $196.55 / $346.88