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Oklahoma rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $110 · 10th–90th $23$5010%5%10%10th90th$110Professionalmedian $28 · 10th–90th $10$620%10%10th90th$28$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $257.04 / $549.54
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $9.77 / $16.60
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $177.83 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $75.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $13.80 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $32.36 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.23 / $13.80
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $26.92 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $72.44 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $37.15 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.00 / $16.22
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $21.38 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $35.48 / $58.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $10.96 / $17.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $25.70 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $302.00
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $131.83 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $42.66 / $257.04
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $11.75 / $83.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $28.18 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $85.11 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $70.79
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $10.96 / $21.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $25.70 / $44.67