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Delaware rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.39 / $77.94 / $159.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.85 / $335.70 / $342.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $57.89 / $77.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.87 / $243.40 / $287.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.50 / $376.09 / $520.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.83 / $65.34 / $110.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.19 / $269.77 / $447.67
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.13 / $349.13 / $349.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $317.55 / $521.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.94 / $71.81 / $141.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.54 / $255.62 / $421.30