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Pennsylvania 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
$19.05 / $38.02 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $251.19
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 / $79.43 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $89.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $97.72 / $165.96
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $20.89 / $38.90
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $77.62 / $131.83
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
$70.79 / $102.33 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $25.12 / $40.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $79.43 / $147.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $169.82
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $26.30 / $32.36
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $107.15 / $134.90
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $102.33 / $204.17
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $22.39 / $42.66
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $79.43 / $158.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $23.99 / $25.70
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.05 / $36.31 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $117.49 / $239.88
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $25.70 / $54.95
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $89.13 / $181.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $77.62 / $177.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.95 / $22.39 / $22.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $87.10 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $20.42 / $22.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $74.13 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $93.33 / $158.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $21.88 / $37.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $72.44 / $123.03