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Hawaii rates for HCPCS 72133

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

Facilitymedian $68 · 10th–90th $60$790%10%20%10th90th$68Professionalmedian $209 · 10th–90th $62$6030%5%10th90th$209$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $67.61 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $275.42 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $190.55 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $74.13 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $245.47 / $416.87
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $575.44 / $645.65
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $81.28 / $85.11
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $446.68 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $257.04 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $70.79 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $186.21 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $457.09 / $851.14
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $79.43 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $323.59 / $691.83
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $794.33
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $91.20 / $131.83
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $363.08 / $676.08