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Rhode Island rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$382.32 / $382.32 / $531.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.90 / $252.85 / $413.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.09 / $57.89 / $67.27
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.24 / $175.12 / $346.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.81 / $290.36 / $629.55
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.77 / $85.38 / $118.48
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.49 / $204.99 / $222.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.63 / $425.00 / $562.61
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.46 / $121.06 / $127.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.76 / $297.88 / $423.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.86 / $333.18 / $472.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.95 / $74.92 / $127.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.94 / $247.28 / $343.06