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Nebraska rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.91 / $311.08 / $524.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.36 / $192.36 / $1,329.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $57.91 / $357.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.46 / $134.46 / $972.61
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.62 / $61.62 / $110.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.95 / $375.13 / $398.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.54 / $112.81 / $119.87
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.38 / $262.30 / $278.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$332.94 / $332.94 / $332.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.14 / $445.78 / $678.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.52 / $132.43 / $169.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.63 / $311.20 / $476.63
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
$278.42 / $465.56 / $2,293.84
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.09 / $122.77 / $523.40
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.44 / $336.36 / $2,412.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$196.33 / $202.05 / $332.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.09 / $546.13 / $709.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.17 / $185.17 / $327.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.00 / $432.79 / $535.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.09 / $121.61 / $149.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.44 / $314.04 / $381.63