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Virginia rates for HCPCS 72084

Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 6/> Vw

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.00 / $20.03 / $69.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $88.15 / $166.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.33 / $19.07 / $35.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.57 / $67.89 / $129.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.12 / $113.24 / $168.37
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.73 / $22.78 / $34.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.55 / $90.67 / $129.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.71 / $110.27 / $146.63
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.83 / $22.83 / $28.99
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.88 / $80.43 / $100.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.72 / $22.72 / $22.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $109.72 / $203.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.96 / $25.85 / $43.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.11 / $80.22 / $160.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.13 / $114.16 / $139.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.13 / $22.40 / $26.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.00 / $92.40 / $113.24
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.33 / $30.33 / $61.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $88.00 / $170.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.93 / $97.55 / $187.87
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.56 / $28.14 / $44.56
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.56 / $95.11 / $164.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.51 / $110.62 / $174.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.00 / $25.41 / $39.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.57 / $85.81 / $137.19