go back

Minnesota rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.49 / $61.49 / $61.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.79 / $262.49 / $397.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.59 / $60.67 / $117.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.03 / $190.28 / $300.36
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.09 / $50.09 / $50.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.81 / $589.04 / $714.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.66 / $172.16 / $208.81
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.63 / $416.88 / $505.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$133.16 / $207.83 / $499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.04 / $404.79 / $704.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.23 / $112.79 / $192.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.23 / $292.38 / $516.28
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.40 / $183.24 / $393.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.04 / $381.88 / $619.82
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.81 / $109.04 / $179.29
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.23 / $271.42 / $440.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$561.91 / $561.91 / $561.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.06 / $483.08 / $2,293.84
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.59 / $116.28 / $523.40
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.00 / $361.59 / $2,412.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.78 / $439.71 / $774.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.54 / $105.38 / $199.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.16 / $352.67 / $559.91