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Minnesota 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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $27.54 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $75.86 / $169.82
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.79 / $16.98 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $354.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $47.86 / $70.79
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $194.98 / $281.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.22 / $63.10 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $173.78 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $38.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $138.04 / $245.47
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $69.18 / $138.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $234.42
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $30.20 / $46.77
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $120.23 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $144.54 / $630.96
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $34.67 / $128.82
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $109.65 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $295.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $35.48 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $109.65 / $239.88