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Washington rates for HCPCS 72132

Computed tomography, lumbar spine; with contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.06 / $128.13 / $210.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.18 / $315.56 / $520.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $65.12 / $155.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.68 / $244.97 / $440.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.12 / $128.12 / $128.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.66 / $92.14 / $92.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$540.32 / $540.32 / $540.32
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.55 / $419.40 / $1,882.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.45 / $142.76 / $474.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.50 / $296.27 / $1,906.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.24 / $397.40 / $609.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.38 / $105.02 / $181.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.66 / $281.76 / $458.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.06 / $130.37 / $1,102.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $457.73 / $791.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.73 / $122.53 / $158.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.19 / $334.12 / $611.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.92 / $156.16 / $375.54
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.99 / $112.96 / $116.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.71 / $226.71 / $226.71
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.95 / $103.11 / $123.54
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.60 / $284.18 / $388.43
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.92 / $77.92 / $78.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $409.45 / $499.82
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.36 / $134.22 / $160.28
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $274.80 / $339.77
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $714.15 / $1,538.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.55 / $359.84 / $533.78
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.45 / $118.33 / $160.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.09 / $241.51 / $358.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.02 / $289.13 / $536.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.07 / $68.30 / $165.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.95 / $197.89 / $376.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.42 / $195.42 / $195.42
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.90 / $59.90 / $59.90
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.51 / $135.51 / $135.51