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Illinois 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 / $107.15 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $69.18 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $190.55 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $47.86 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $218.78 / $407.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $323.59 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $85.11 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $239.88 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $537.03 / $1,737.80
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $120.23 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $398.11 / $1,258.93
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $239.88 / $263.03
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $74.13 / $77.62
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $169.82 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $354.81 / $575.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $74.13 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $269.15 / $478.63