go back

Alaska rates for HCPCS 72040

Radiologic examination, spine, cervical; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.01 / $554.92 / $899.10
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.28 / $46.06 / $85.43
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$87.70 / $348.75 / $669.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.10 / $56.86 / $143.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.02 / $16.66 / $48.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.05 / $50.15 / $160.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.22 / $386.22 / $386.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.86 / $97.99 / $140.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.20 / $35.47 / $39.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.67 / $62.51 / $103.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.28 / $62.20 / $835.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.20 / $115.47 / $246.51
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.88 / $31.52 / $92.17
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.06 / $84.42 / $199.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.75 / $160.65 / $239.15
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.00 / $46.40 / $71.52
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.75 / $117.45 / $167.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.28 / $53.14 / $386.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.31 / $128.75 / $223.72
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.00 / $48.00 / $72.64
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.00 / $112.50 / $166.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $102.25 / $222.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.32 / $32.85 / $79.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.61 / $74.37 / $151.33