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Pennsylvania rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $234.42 / $436.52
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.55 / $19.05 / $39.81
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.36 / $144.54 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $56.23 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $15.49 / $40.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $40.74 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $31.62 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $11.22 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $25.70 / $42.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $5,011.87 / $57,543.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$117.49 / $165.96 / $234.42
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.65 / $81.28
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $14.13 / $24.55
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $33.88 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $81.28 / $257.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.63 / $12.30 / $17.38
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$6.76 / $31.62 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $13.49 / $22.39
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $32.36 / $54.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $54.95 / $69.18
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $14.13 / $17.38
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $40.74 / $51.29
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Geisinger
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$38.90 / $38.90 / $38.90
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $44.67 / $83.18
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $12.59 / $22.91
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $32.36 / $60.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $218.78 / $363.08
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$147.91 / $316.23 / $489.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $44.67 / $56.23
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $12.59 / $17.78
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $35.48 / $51.29
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $794.33
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $95.50 / $95.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $229.09 / $426.58
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.55 / $15.85 / $39.81
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.36 / $141.25 / $446.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $53.70 / $112.20
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $14.45 / $33.88
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $37.15 / $72.44
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $169.82 / $234.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $46.77 / $75.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $24.55 / $70.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.72 / $12.02 / $12.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$26.30 / $26.30 / $27.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $27.54 / $70.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $10.72 / $12.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $27.54 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $281.84 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $66.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $11.75 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $28.18 / $47.86