go back

Arkansas rates for HCPCS 72114

Radex Spine Lumbscrl Compl W/Bending Views Min 6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.75 / $23.28 / $29.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $75.26 / $110.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.51 / $19.93 / $26.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.25 / $53.90 / $84.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.40 / $100.73 / $100.73
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.51 / $24.84 / $26.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.12 / $78.25 / $86.94
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.98 / $23.81 / $26.45
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.13 / $54.44 / $60.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $45.69 / $69.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $88.72 / $112.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.29 / $22.94 / $30.46
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.13 / $61.90 / $77.37
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.84 / $115.84 / $115.84
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.15 / $29.68 / $30.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.70 / $72.90 / $108.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.29 / $18.73 / $31.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.22 / $54.16 / $80.55