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California rates for HCPCS 72100

Radex Spine Lumbosacral 2/3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.72 / $405.38 / $865.64
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.75 / $13.37 / $59.85
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$37.72 / $260.48 / $544.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $54.15 / $170.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.02 / $14.55 / $48.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.62 / $34.81 / $116.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.74 / $42.32 / $107.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.92 / $11.67 / $24.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.75 / $52.98 / $60.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.65 / $203.15 / $876.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.99 / $49.43 / $98.30
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.42 / $14.71 / $30.27
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.00 / $34.97 / $69.11
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.30 / $97.90 / $276.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.46 / $44.17 / $103.87
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.34 / $13.21 / $31.48
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.04 / $30.96 / $85.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.95 / $272.93 / $681.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $49.60 / $103.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.63 / $13.59 / $30.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.08 / $35.96 / $79.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.29 / $51.64 / $69.70
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.39 / $12.02 / $16.23
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.90 / $39.61 / $53.49
HealthNet
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.13 / $56.13 / $56.13
HealthNet
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.52 / $22.52 / $22.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $51.23 / $83.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.58 / $14.42 / $22.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.70 / $45.89 / $74.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.55 / $359.91 / $359.91
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.90 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $158.84 / $158.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.38 / $256.38 / $333.60
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.56 / $82.56 / $135.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.00 / $211.00 / $247.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $53.46 / $102.97
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.79 / $32.79 / $32.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.46 / $54.49 / $106.92
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.63 / $13.49 / $30.09
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.39 / $35.61 / $76.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.41 / $126.41 / $126.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.79 / $36.79 / $36.79
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.60 / $89.60 / $89.60
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.76 / $57.42 / $73.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.94 / $189.00 / $189.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.71 / $40.19 / $96.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.85 / $12.00 / $27.77
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.03 / $28.38 / $69.70