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Virginia rates for HCPCS 72132

Computed tomography, lumbar spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.41 / $83.44 / $176.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.60 / $228.17 / $409.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.41 / $62.25 / $120.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.21 / $165.92 / $297.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.80 / $204.76 / $337.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.10 / $65.59 / $101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.25 / $139.30 / $231.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.94 / $282.06 / $1,041.42
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.79 / $63.79 / $81.01
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.15 / $218.27 / $277.20
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 / $332.95 / $528.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.74 / $75.98 / $139.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.73 / $256.00 / $402.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.21 / $197.05 / $242.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.48 / $63.60 / $77.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.73 / $135.27 / $165.78
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.41 / $101.00 / $181.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $248.00 / $467.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.72 / $286.24 / $511.42
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.58 / $81.61 / $129.22
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.13 / $217.04 / $338.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.79 / $260.36 / $466.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.56 / $72.91 / $112.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.13 / $182.20 / $371.38