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Maryland rates for HCPCS 72132

Computed tomography, lumbar spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $67.61 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $97.72 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $190.55 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $281.84
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $74.13 / $83.18
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $165.96 / $194.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $288.40 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $67.61 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $194.98 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $371.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $64.57 / $87.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $138.04 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $446.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $63.10 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $177.83 / $338.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $204.17 / $281.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $67.61 / $87.10
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $138.04 / $190.55