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Arizona rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.45 / $43.65 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $74.13 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $21.38 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $46.77 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $10.47 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $30.90 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $51.29 / $91.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $11.48 / $19.95
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $38.02 / $70.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.09 / $14.45 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $60.26 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $16.98 / $30.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $42.66 / $79.43
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $109.65 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $56.23 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $16.22 / $120.23
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $38.90 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $52.48 / $79.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $15.14 / $22.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $37.15 / $57.54