go back

New Hampshire rates for HCPCS 72132

Computed tomography, lumbar spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $109.65 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $269.15 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $83.18 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $181.97 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $44.67 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $398.11 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $128.82 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $263.03 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $416.87 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $117.49 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $295.12 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $100.00 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $204.17 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $602.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $81.28 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $213.80 / $407.38
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.31 / $42.66 / $42.66