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Wyoming 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
$19.30 / $19.30 / $19.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $81.20 / $118.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.13 / $18.16 / $22.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.57 / $64.13 / $95.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $418.00 / $418.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.00 / $84.00 / $84.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.00 / $334.00 / $334.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.34 / $121.25 / $209.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.19 / $31.15 / $53.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.86 / $87.58 / $166.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.13 / $163.44 / $249.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.71 / $37.39 / $63.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.42 / $121.79 / $185.90