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Maryland rates for HCPCS 72133

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

Facilitymedian $52 · 10th–90th $52$520%50%$52Professionalmedian $186 · 10th–90th $60$4070%5%10th90th$186$20.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $275.42 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $199.53 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $257.04 / $309.03
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $70.79 / $81.28
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $190.55 / $275.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $69.18 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $245.47 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $66.07 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $169.82 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $295.12 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $64.57 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $218.78 / $457.09
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $223.87 / $331.13
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $63.10 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $162.18 / $234.42