go back

Iowa rates for HCPCS 72100

Radex Spine Lumbosacral 2/3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.52 / $251.28 / $577.71
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.65 / $18.32 / $34.85
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$38.63 / $323.95 / $413.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $44.44 / $167.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.65 / $11.43 / $48.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.09 / $32.61 / $81.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.61 / $119.08 / $122.55
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.27 / $37.36 / $38.45
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$79.34 / $81.72 / $84.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $92.31 / $115.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.34 / $24.05 / $33.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.66 / $68.26 / $85.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $57.38 / $98.35
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.96 / $16.14 / $33.90
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.69 / $37.84 / $49.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.24 / $85.88 / $323.83
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.36 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$81.72 / $131.69 / $310.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $60.97 / $256.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.04 / $14.38 / $82.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.37 / $32.47 / $211.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $84.68 / $134.72
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.36 / $38.45 / $60.06
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$81.72 / $84.10 / $157.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.40 / $77.92 / $129.56
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.50 / $761.46 / $1,550.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $30.78 / $67.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $42.49 / $71.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.04 / $13.25 / $22.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.37 / $31.07 / $52.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.64 / $67.90 / $79.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.46 / $18.30 / $21.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.26 / $49.70 / $58.40