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Virginia rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.08 / $304.47 / $804.50
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.18 / $16.30 / $29.68
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$33.46 / $381.45 / $741.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $38.56 / $67.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.23 / $11.11 / $23.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.42 / $28.97 / $50.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.21 / $152.87 / $199.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.85 / $44.80 / $65.48
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.61 / $12.24 / $18.46
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.39 / $32.85 / $48.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $45.15 / $114.06
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.41 / $12.68 / $16.10
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.61 / $27.92 / $34.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.73 / $117.87 / $500.00
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
$30.77 / $47.65 / $81.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.66 / $13.97 / $23.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.44 / $32.90 / $59.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $45.81 / $56.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.66 / $11.94 / $14.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.51 / $34.21 / $41.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $52.83 / $79.59
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.02 / $23.00 / $36.00
Medcost
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$30.65 / $54.23 / $78.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $37.00 / $67.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.39 / $36.50 / $71.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $44.78 / $88.94
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.12 / $15.27 / $24.18
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.29 / $38.27 / $62.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.62 / $45.94 / $70.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.53 / $13.78 / $22.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.17 / $32.15 / $50.45