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Vermont rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.25 / $356.54 / $452.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $74.30 / $74.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.06 / $299.02 / $377.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.68 / $317.77 / $875.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.39 / $519.79 / $875.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.92 / $88.71 / $253.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.69 / $285.48 / $756.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.39 / $519.79 / $875.09
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.27 / $88.71 / $253.27
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.69 / $285.48 / $476.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.78 / $477.93 / $930.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.62 / $89.36 / $269.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.04 / $327.35 / $661.45