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New Hampshire rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $22 · 10th–90th $15$560%20%10th90th$22Professionalmedian $43 · 10th–90th $13$1120%5%10th90th$43$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.49 / $21.88 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $56.23 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.85 / $35.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $40.74 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $16.22 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $81.28 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $19.50 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $60.26 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $21.88 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $61.66 / $117.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $95.50 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $22.91 / $33.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $74.13 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $75.86 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $20.42 / $41.69
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $54.95 / $128.82
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.33 / $10.23 / $12.59