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Massachusetts rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.84 / $119.99 / $383.35
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.52 / $15.02 / $20.02
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$41.53 / $264.39 / $430.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.31 / $44.36 / $124.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.52 / $11.92 / $33.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.78 / $30.16 / $92.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $117.12 / $359.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.22 / $26.50 / $100.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$61.48 / $77.86 / $158.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.69 / $58.11 / $256.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.82 / $16.17 / $82.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.03 / $47.92 / $211.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.65 / $177.55 / $345.07
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.36 / $20.18 / $27.26
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.93 / $62.25 / $81.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.59 / $245.96 / $376.13
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$30.33 / $30.33 / $30.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $63.55 / $127.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.34 / $18.39 / $31.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.91 / $48.23 / $96.67
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.43 / $83.43 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $43.17 / $77.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.74 / $97.21 / $129.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.11 / $26.15 / $34.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.64 / $71.08 / $93.20
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $75.69 / $408.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $32.00 / $97.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.50 / $359.91 / $359.91
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.22 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$61.48 / $158.84 / $158.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $59.04 / $256.38
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.20 / $18.12 / $82.56
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.07 / $48.05 / $211.00
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.17 / $124.72 / $294.08
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $47.00 / $80.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $51.93 / $92.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.71 / $14.98 / $28.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.03 / $38.58 / $69.94