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Colorado rates for HCPCS 72133

Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $64.57 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $190.55 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $302.00 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $81.28 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $213.80 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $331.13 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $72.44 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $251.19 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $416.87 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $93.33 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $229.09 / $1,288.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $302.00
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $58.88 / $123.03
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $147.91 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $616.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $83.18 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $302.00 / $478.63