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Virginia 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
$52.48 / $100.00 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $67.61 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $190.55 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $77.62 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $199.53 / $331.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $281.84 / $1,288.25
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $87.10 / $120.23
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $204.17 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.45 / $67.61 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $380.19 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $75.86 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $302.00 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $66.07 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $165.96 / $213.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $630.96
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $112.20 / $128.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $338.84
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $316.23 / $1,023.29
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $81.28 / $134.90
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $263.03 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $616.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $70.79 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $245.47 / $512.86