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Missouri rates for HCPCS 72132

Computed tomography, lumbar spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.27 / $80.23 / $132.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.10 / $282.06 / $973.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $71.23 / $281.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.70 / $215.99 / $721.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $63.91 / $90.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.76 / $262.41 / $594.97
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.47 / $77.56 / $127.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.29 / $185.99 / $481.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.98 / $65.98 / $65.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.08 / $294.76 / $535.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.40 / $82.68 / $143.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.87 / $204.63 / $418.37
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$417.20 / $540.32 / $540.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.85 / $345.73 / $1,882.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $82.64 / $434.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.41 / $268.08 / $1,906.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.29 / $288.18 / $508.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.50 / $72.80 / $133.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.83 / $194.52 / $337.95