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Virginia 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 / $29.51 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $104.71 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $25.70 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $75.86 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $25.70 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $102.33 / $154.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $112.20 / $158.49
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $21.38 / $32.36
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $91.20 / $138.04
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
$72.44 / $104.71 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $25.12 / $42.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $77.62 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $117.49 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $22.39 / $26.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $95.50 / $117.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $42.66 / $42.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $162.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $93.33 / $213.80
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $26.30 / $44.67
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $89.13 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $100.00 / $177.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $23.44 / $41.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $77.62 / $138.04