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Arizona rates for HCPCS 72114

Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views

Facilitymedian $51 · 10th–90th $15$690%20%10th90th$51Professionalmedian $52 · 10th–90th $14$1380%5%10th90th$52$5.0$10.0$20.0$50.0$100.0$200.0$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
$15.14 / $51.29 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $21.88 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $52.48 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $11.22 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $36.31 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $14.45 / $56.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $50.12 / $204.17
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.63 / $16.98 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $19.05 / $33.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $53.70 / $97.72
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $125.89 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $70.79 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $18.20 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $52.48 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $69.18 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $17.78 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $50.12 / $79.43