go back

North Carolina rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.29 / $265.68 / $440.71
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.71 / $11.74 / $17.87
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$25.10 / $363.33 / $632.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.88 / $43.39 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.71 / $11.82 / $39.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.82 / $29.86 / $76.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.56 / $54.00 / $97.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.02 / $14.22 / $22.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.78 / $30.15 / $38.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $27.78 / $27.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.39 / $23.86 / $31.58
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.74 / $50.37 / $69.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $55.80 / $126.40
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
$32.69 / $56.50 / $97.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.78 / $17.42 / $30.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.60 / $40.52 / $68.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.82 / $60.98 / $92.52
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.26 / $23.00 / $33.10
Medcost
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$30.65 / $50.02 / $74.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $30.00 / $51.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.26 / $23.00 / $39.71
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.51 / $278.04 / $1,200.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $38.47 / $67.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $47.23 / $90.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.88 / $14.34 / $27.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.21 / $34.01 / $60.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.50 / $359.91 / $359.91
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.90 / $100.00 / $100.00
Wellcare
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$61.48 / $158.84 / $158.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.38 / $256.38 / $333.60
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.56 / $82.56 / $135.00
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.00 / $211.00 / $247.28