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Wyoming rates for HCPCS 72133

Ct Lumbar Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.27 / $57.27 / $58.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.79 / $262.48 / $435.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $60.63 / $81.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.03 / $191.08 / $375.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.00 / $865.00 / $865.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.00 / $253.00 / $253.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$372.00 / $612.00 / $612.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.81 / $427.69 / $813.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.38 / $104.89 / $192.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.27 / $344.40 / $588.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.86 / $449.27 / $1,117.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.72 / $113.45 / $195.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.95 / $324.58 / $921.78