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Pennsylvania rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.22 / $19.50 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $75.86 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $21.38 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $51.29 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $41.69 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $15.14 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $38.02 / $58.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $112.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $19.05 / $35.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $45.71 / $75.86
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
$40.74 / $61.66 / $104.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $18.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $44.67 / $74.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $72.44 / $91.20
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $16.98 / $20.89
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $56.23 / $70.79
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $60.26 / $109.65
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $16.98 / $30.90
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $44.67 / $83.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $57.54 / $77.62
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $14.45 / $21.38
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $56.23 / $67.61
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $63.10 / $83.18
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $15.49 / $20.42
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.22 / $18.62 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $69.18 / $147.91
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $18.62 / $42.66
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $50.12 / $91.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $63.10 / $102.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $16.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $34.67 / $53.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $12.30 / $16.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $37.15 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $85.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $14.45 / $24.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $37.15 / $63.10