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California rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $18.62 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $75.86 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $21.38 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $51.29 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $53.70 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $20.89 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $50.12 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $75.86 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $21.88 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $53.70 / $102.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $77.62 / $147.91
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $21.88 / $38.02
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $54.95 / $112.20
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
$44.67 / $67.61 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $18.62 / $34.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $48.98 / $93.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $72.44 / $97.72
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $14.45 / $19.50
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $57.54 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $16.98 / $27.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $61.66 / $107.15
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.65 / $109.65 / $109.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $190.55 / $190.55
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $331.13 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $33.11 / $57.54
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.09 / $14.45 / $20.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $69.18 / $128.82
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $17.78 / $32.36
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $46.77 / $91.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $162.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $42.66 / $42.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $117.49 / $117.49
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $81.28 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $107.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $14.45 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $35.48 / $79.43