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West 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
$63.10 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $61.66 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $169.82 / $323.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
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
$173.78 / $501.19 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $85.11 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $380.19 / $1,148.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $380.19 / $691.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $70.79 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $288.40 / $575.44