go back

Pennsylvania rates for HCPCS 72132

Computed tomography, lumbar spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $107.15 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $95.50 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $186.21 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $60.26 / $95.50
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $60.26 / $117.49
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $112.20 / $331.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $66.07 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $309.03 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $72.44 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $218.78 / $398.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $288.40
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $74.13 / $91.20
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $154.88 / $194.98
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $489.78
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $69.18 / $123.03
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $190.55 / $363.08
Highmark BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$467.74 / $467.74 / $467.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $70.79 / $107.15
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $102.33 / $208.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $83.18 / $186.21
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $204.17 / $436.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $302.00 / $446.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $57.54 / $66.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $213.80 / $245.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $57.54 / $58.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $112.20 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $407.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $63.10 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $165.96 / $309.03