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
$58.20 / $64.17 / $164.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.91 / $246.79 / $614.85
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.45 / $62.12 / $172.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.66 / $146.47 / $321.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.31 / $115.31 / $115.31
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.17 / $76.33 / $94.55
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.74 / $173.03 / $173.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.40 / $59.57 / $114.02
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.34 / $113.47 / $299.79
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
$157.30 / $311.76 / $556.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.89 / $70.48 / $114.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.98 / $216.18 / $415.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.46 / $265.63 / $804.71
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.76 / $75.43 / $119.13
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.87 / $162.90 / $232.01
Highmark BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$470.05 / $470.05 / $470.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.39 / $184.39 / $184.39
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.14 / $71.01 / $109.56
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.42 / $81.76 / $202.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.38 / $237.52 / $595.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.26 / $74.25 / $164.64
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.96 / $155.75 / $413.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.18 / $174.67 / $349.10
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.86 / $65.98 / $65.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.17 / $307.01 / $544.26
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.10 / $70.23 / $117.89
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.46 / $215.02 / $400.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.10 / $57.10 / $65.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.30 / $168.68 / $337.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.65 / $57.10 / $65.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.20 / $111.59 / $271.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.24 / $250.58 / $401.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.46 / $67.47 / $113.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.04 / $166.18 / $307.22