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California rates for HCPCS 72084

Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $24.55 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $26.92 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $77.62 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $18.62 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $38.90 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $131.83 / $229.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $245.47
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.23 / $26.92
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $112.20 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4.90 / $22.91 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $25.70 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $85.11 / $181.97
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $134.90 / $181.97
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $22.91 / $30.90
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $109.65 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $26.30 / $42.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $117.49 / $208.93
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $128.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $831.76
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $162.18 / $162.18
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$512.86 / $660.69 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $112.20
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4.90 / $22.91 / $32.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $117.49 / $245.47
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $24.55 / $46.77
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $81.28 / $165.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $309.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $67.61 / $67.61
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $245.47 / $245.47
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $95.50 / $199.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $21.38 / $42.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $72.44 / $162.18