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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
$60.67 / $66.34 / $100.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.93 / $240.82 / $406.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.83 / $60.67 / $170.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.27 / $168.52 / $325.76
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.68 / $92.15 / $92.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.08 / $159.08 / $159.08
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.38 / $131.15 / $183.64
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$370.65 / $622.62 / $837.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.70 / $68.70 / $68.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.30 / $502.33 / $887.43
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.33 / $98.70 / $172.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.31 / $384.92 / $754.19
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.91 / $105.00 / $204.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $256.00 / $337.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.91 / $91.91 / $223.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.88 / $185.17 / $325.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.80 / $397.25 / $692.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.32 / $88.19 / $170.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.34 / $318.62 / $545.71
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$434.48 / $546.72 / $546.72
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.66 / $2,362.66 / $2,362.66
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$523.40 / $523.40 / $523.40
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,412.00 / $2,412.00 / $2,412.00