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Vermont rates for HCPCS 72100

Radex Spine Lumbosacral 2/3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.35 / $606.58 / $904.14
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$398.67 / $398.67 / $398.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $42.55 / $52.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.02 / $11.82 / $14.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.62 / $30.57 / $36.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.72 / $561.55 / $836.94
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.76 / $65.76 / $65.76
BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$152.96 / $626.03 / $687.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.76 / $51.58 / $170.31
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.70 / $13.70 / $45.18
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.37 / $30.37 / $36.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.14 / $268.14 / $613.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $57.94 / $170.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.23 / $15.54 / $45.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.85 / $41.12 / $65.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.14 / $268.14 / $613.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $57.94 / $170.31
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.68 / $15.54 / $45.18
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.35 / $36.72 / $60.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.56 / $56.64 / $181.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.17 / $15.99 / $48.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.39 / $39.79 / $133.11