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Mississippi rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.88 / $127.86 / $136.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.09 / $342.37 / $435.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $98.00 / $136.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.19 / $276.06 / $293.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.08 / $107.27 / $107.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.00 / $564.00 / $564.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.48 / $426.00 / $642.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.00 / $99.05 / $127.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.48 / $323.39 / $528.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $153.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.01 / $279.33 / $686.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.31 / $71.06 / $122.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.84 / $214.69 / $569.12