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New York rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $126.18 / $380.19
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.46 / $12.38 / $25.16
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$29.26 / $110.58 / $342.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.01 / $45.69 / $107.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.46 / $12.49 / $35.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.55 / $29.71 / $74.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.87 / $35.17 / $40.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.86 / $8.26 / $17.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $38.65 / $99.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.62 / $9.82 / $25.46
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.06 / $27.97 / $62.90
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.67 / $15.67 / $40.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $40.00 / $55.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.36 / $95.45 / $256.04
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
$30.84 / $55.02 / $134.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.27 / $15.06 / $32.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.27 / $40.77 / $105.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.62 / $44.20 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $48.26 / $80.84
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.11 / $13.91 / $24.32
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.62 / $38.63 / $70.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.15 / $15.15 / $15.15
Excellus BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$9.09 / $9.09 / $9.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $46.92 / $84.09
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $14.16 / $22.95
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.26 / $34.11 / $61.14
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.26 / $42.99 / $43.41
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.95 / $12.66 / $13.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.93 / $149.11 / $317.24
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$26.63 / $73.06 / $288.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $51.45 / $64.09
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.44 / $14.00 / $26.14
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.34 / $43.94 / $68.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $95.55 / $264.06
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
MVP Health Care
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.79 / $32.79 / $32.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.49 / $54.36 / $121.96
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.64 / $14.62 / $31.78
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.41 / $35.47 / $91.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.26 / $40.19 / $81.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.76 / $11.55 / $25.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.78 / $27.47 / $59.73
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.15 / $46.15 / $112.68
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.60 / $12.60 / $35.18
Univera
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$33.54 / $33.54 / $83.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $58.38 / $104.27
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $16.07 / $28.84
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.22 / $42.31 / $76.95