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Wyoming 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
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $67.61 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $199.53 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $794.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $234.42 / $234.42
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.08 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $125.89 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $398.11 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $112.20 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $338.84 / $912.01