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Vermont rates for HCPCS 72020

Radiologic examination, spine, single view, specify level

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $52.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.01 / $7.94 / $16.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $16.98 / $41.69
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $32.36 / $104.71
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $11.22 / $32.36
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $18.62 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $35.48 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $10.96 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $23.44 / $52.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $104.71
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $7.76 / $32.36
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $33.11 / $83.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.00 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $21.88 / $57.54