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Massachusetts 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
$46.77 / $100.00 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $72.44 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $190.55 / $549.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.25 / $549.54 / $549.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $389.05 / $2,344.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $83.18 / $524.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $302.00 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $117.49 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $446.68 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $87.10 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $346.74 / $588.84
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $218.78 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $588.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $89.13 / $158.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $234.42 / $416.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.25 / $549.54 / $549.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $389.05 / $2,344.23
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $83.18 / $524.81
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $295.12 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $645.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $83.18 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $269.15 / $524.81