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Georgia rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $119.52 / $265.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.15 / $275.00 / $674.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $55.00 / $141.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.27 / $220.00 / $506.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.54 / $157.54 / $157.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.68 / $71.68 / $93.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.50 / $335.16 / $663.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.01 / $78.31 / $159.76
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.78 / $246.38 / $513.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.70 / $68.70 / $68.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.39 / $473.37 / $822.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.33 / $101.43 / $167.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.50 / $350.70 / $639.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $387.28 / $1,088.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.56 / $101.32 / $222.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.44 / $271.70 / $1,079.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.99 / $200.13 / $355.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.14 / $395.73 / $672.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.10 / $80.81 / $142.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.63 / $298.89 / $501.34