go back

Texas rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.12 / $347.76 / $661.03
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.93 / $8.98 / $29.96
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$26.58 / $302.58 / $549.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.20 / $42.55 / $100.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.88 / $11.10 / $39.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $27.53 / $57.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.73 / $33.86 / $52.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.03 / $10.63 / $19.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.61 / $22.60 / $35.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.08 / $279.08 / $484.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $28.69 / $41.62
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.27 / $186.10 / $468.50
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $51.46 / $73.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $38.74 / $105.71
Christus
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$25.54 / $26.59 / $28.36
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.07 / $10.59 / $19.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.08 / $123.74 / $374.98
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
$28.83 / $41.39 / $74.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.85 / $12.50 / $22.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.76 / $29.77 / $52.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.98 / $359.91 / $359.91
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.90 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$61.48 / $158.84 / $158.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.38 / $256.38 / $333.60
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.56 / $82.56 / $135.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.00 / $211.00 / $247.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.54 / $45.47 / $240.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $50.23 / $93.60
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.46 / $17.07 / $41.40
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.58 / $46.43 / $112.56
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.16 / $89.62 / $416.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $33.88 / $65.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.61 / $45.36 / $99.12
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
$30.42 / $46.74 / $100.58
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.00 / $12.14 / $21.78
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.72 / $29.38 / $51.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.28 / $60.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.24 / $10.99 / $19.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.27 / $26.92 / $42.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.85 / $36.76 / $52.26
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.83 / $10.17 / $14.05
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.02 / $26.59 / $38.21