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Indiana rates for HCPCS 72133

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

Facilitymedian $83 · 10th–90th $62$1070%20%10th90th$83Professionalmedian $178 · 10th–90th $62$3800%5%10%10th90th$178$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
$61.66 / $83.18 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $251.19 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $64.57 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $173.78 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $83.18 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $263.03 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $380.19 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $81.28 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $288.40 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $66.07 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $229.09 / $457.09