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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
$51.29 / $87.10 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $87.10 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $165.96 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $234.42 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $74.13 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $158.49 / $263.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $1,202.26
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $74.13 / $104.71
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $165.96 / $251.19
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
$158.49 / $323.59 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $72.44 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $245.47 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $199.53 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $64.57 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $134.90 / $173.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $524.81
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $107.15 / $125.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $288.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $269.15 / $1,000.00
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $79.43 / $128.82
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $213.80 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $501.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $69.18 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $199.53 / $416.87