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Oklahoma rates for HCPCS 72133

Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $91 · 10th–90th $63$3720%20%10th90th$91Professionalmedian $182 · 10th–90th $60$3720%5%10th90th$182$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $91.20 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $263.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $104.71
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $190.55 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $199.53 / $275.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $61.66 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $239.88 / $380.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$436.52 / $562.34 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $295.12 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $69.18 / $524.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $251.19 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $257.04 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $186.21 / $363.08