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Rhode Island 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
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $354.81 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $91.20 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $288.40 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $537.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $77.62 / $123.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $177.83 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $117.49 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $295.12 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $467.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $72.44 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $245.47 / $346.74