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Pennsylvania rates for HCPCS 72040

Radex Spine Cervical 2 Or 3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.35 / $212.42 / $382.07
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.02 / $12.54 / $28.00
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$40.36 / $139.50 / $294.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.51 / $51.22 / $157.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.59 / $15.06 / $36.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.46 / $31.24 / $77.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.60 / $31.22 / $72.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.26 / $12.93 / $17.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.49 / $30.71 / $43.02
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.92 / $665.92 / $665.92
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.11 / $49.53 / $75.98
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.17 / $110.17 / $110.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $5,000.00 / $77,850.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$109.63 / $146.40 / $195.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $55.08 / $76.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $17.38 / $24.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.66 / $37.65 / $51.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.20 / $77.45 / $215.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.44 / $32.44 / $32.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $44.23 / $72.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.19 / $13.29 / $21.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.85 / $30.86 / $50.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.47 / $51.36 / $61.86
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.76 / $14.15 / $22.26
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.13 / $41.18 / $58.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.29 / $182.33 / $318.81
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$147.96 / $233.91 / $389.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.96 / $47.32 / $56.38
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $12.93 / $17.76
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.85 / $41.54 / $49.86
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.92 / $665.92 / $843.66
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.68 / $49.53 / $49.53
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.17 / $110.17 / $110.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.26 / $187.85 / $406.45
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.65 / $13.54 / $31.27
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$30.72 / $129.18 / $462.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.53 / $51.22 / $118.47
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.93 / $14.64 / $31.80
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.85 / $35.08 / $71.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.21 / $141.08 / $195.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $37.86 / $66.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.60 / $74.02 / $260.37
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.17 / $12.30 / $12.30
Priority Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$16.23 / $32.44 / $32.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $43.84 / $72.01
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.36 / $13.15 / $21.78
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.72 / $30.97 / $50.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.29 / $38.11 / $38.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.61 / $10.61 / $12.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$24.30 / $27.50 / $27.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $38.11 / $41.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.35 / $10.61 / $12.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.30 / $27.50 / $30.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.53 / $206.53 / $206.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.74 / $40.36 / $69.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.11 / $12.45 / $21.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.32 / $29.00 / $47.95