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Iowa rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.43 / $193.63 / $357.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.17 / $235.83 / $403.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $60.02 / $85.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.32 / $168.78 / $325.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$190.61 / $196.33 / $202.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $477.58 / $887.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.31 / $135.75 / $203.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.89 / $348.77 / $731.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $324.51 / $1,086.25
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.62 / $90.26 / $269.27
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.45 / $224.51 / $885.46
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$434.48 / $561.91 / $561.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.04 / $422.90 / $2,293.84
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.05 / $80.48 / $523.40
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.60 / $287.25 / $2,412.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$196.33 / $202.05 / $332.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.09 / $546.13 / $735.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.65 / $185.17 / $327.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.88 / $279.33 / $520.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.81 / $74.17 / $140.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.60 / $228.54 / $970.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.68 / $384.40 / $452.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.22 / $114.20 / $134.40
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.46 / $270.20 / $317.89