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Michigan 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
$23.99 / $24.55 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $112.20 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $26.92 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $81.28 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $75.86 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $18.62 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $158.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $31.62 / $31.62
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
$74.13 / $120.23 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $27.54 / $58.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $95.50 / $229.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $25.12 / $45.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $104.71 / $199.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $22.91 / $57.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $81.28 / $154.88
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4.90 / $22.91 / $32.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $208.93
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $22.39 / $53.70
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $74.13 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $141.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $22.39 / $33.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $69.18 / $109.65