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Alaska rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.43 / $616.41 / $753.62
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.28 / $46.06 / $79.16
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$101.98 / $453.72 / $615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $52.88 / $148.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.02 / $16.66 / $60.43
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.62 / $33.17 / $107.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.44 / $466.44 / $466.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.86 / $98.84 / $141.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.20 / $35.47 / $39.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.67 / $63.36 / $104.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.28 / $53.14 / $667.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.20 / $115.47 / $260.01
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.88 / $31.52 / $92.17
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.06 / $84.42 / $201.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.75 / $162.00 / $239.15
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.00 / $46.40 / $71.52
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.75 / $118.80 / $167.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.28 / $53.14 / $466.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.74 / $128.75 / $230.30
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.00 / $48.00 / $72.64
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.00 / $112.50 / $167.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.66 / $114.70 / $230.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.89 / $31.56 / $79.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.25 / $62.62 / $147.40