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Tennessee rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.72 / $14.79 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $69.18 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $19.50 / $51.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $45.71 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $12.02 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $37.15 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $51.29 / $107.15
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $21.88 / $36.31
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $51.29 / $85.11
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $60.26 / $107.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $18.62 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $42.66 / $77.62
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
$331.13 / $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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $53.70 / $93.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $16.22 / $26.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $38.02 / $66.07