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North Carolina 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
$60.26 / $100.00 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $64.57 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $199.53 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $54.95 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $131.83 / $186.21
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $616.60 / $851.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.45 / $67.61 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $489.78 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $91.20 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $371.54 / $645.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $112.20 / $112.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $181.97 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $371.54 / $630.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $75.86 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $288.40 / $478.63
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$549.54 / $549.54 / $549.54
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$524.81 / $524.81 / $524.81
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83