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Utah rates for HCPCS 72100

Radex Spine Lumbosacral 2/3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $218.07 / $416.56
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.21 / $61.27 / $66.48
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$195.76 / $355.97 / $411.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $45.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.61 / $14.41 / $44.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.37 / $33.17 / $67.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.38 / $136.50 / $432.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $47.59 / $84.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.44 / $15.24 / $23.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.32 / $33.01 / $61.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $28.95 / $39.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.70 / $225.21 / $387.37
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.49 / $66.58 / $77.45
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.87 / $19.87 / $24.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.17 / $45.88 / $52.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $38.61 / $66.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.54 / $11.57 / $19.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.49 / $27.07 / $45.00