go back

Oregon rates for HCPCS 72100

Radex Spine Lumbosacral 2/3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.12 / $265.36 / $435.01
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.90 / $23.31 / $54.20
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$48.96 / $327.60 / $502.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $55.00 / $163.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.36 / $15.37 / $48.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.62 / $40.57 / $116.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.14 / $301.52 / $367.38
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
$38.96 / $74.36 / $110.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.42 / $21.04 / $31.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.14 / $52.12 / $81.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.36 / $93.16 / $107.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.48 / $24.54 / $27.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.25 / $68.36 / $80.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $72.40 / $119.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.68 / $67.36 / $119.45
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.07 / $20.70 / $32.52
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.43 / $56.90 / $89.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $69.43 / $80.40
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.68 / $21.12 / $21.76
Pacific Source
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$38.19 / $50.25 / $58.96
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.67 / $20.00 / $23.36
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.55 / $44.89 / $58.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.51 / $86.40 / $119.64
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.79 / $32.79 / $32.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.22 / $83.93 / $113.05
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.50 / $21.79 / $31.47
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.79 / $57.32 / $82.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.19 / $372.00 / $463.05
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$385.75 / $385.75 / $385.75
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$385.75 / $385.75 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $82.20 / $109.18
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.14 / $22.74 / $30.32
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.13 / $60.28 / $80.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.21 / $57.77 / $124.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $15.02 / $33.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.35 / $29.30 / $77.41