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Pennsylvania rates for HCPCS 72081

Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $22.39 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $54.95 / $190.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $19.05 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $33.11 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $29.51 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $12.30 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $25.70 / $25.70
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $72.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $16.22 / $25.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $31.62 / $50.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.02 / $14.13 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $47.86 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $16.22 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $33.11 / $57.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $16.98 / $20.89
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $42.66 / $54.95
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $46.77 / $91.20
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $14.45 / $27.54
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $32.36 / $64.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $47.86 / $51.29
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $14.13 / $23.44
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $43.65 / $43.65
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.75 / $22.39 / $43.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $53.70 / $120.23
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $17.38 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $35.48 / $74.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $50.12 / $97.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $14.79 / $14.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $40.74 / $85.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $12.59 / $14.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $28.18 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.66 / $72.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $14.13 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $28.18 / $50.12