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Hawaii rates for HCPCS 72114

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

Facilitymedian $17 · 10th–90th $15$190%20%40%10th90th$17Professionalmedian $55 · 10th–90th $14$1380%5%10th90th$55$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
$14.79 / $16.60 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $75.86 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $18.20 / $46.77
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $50.12 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $85.11 / $107.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $19.95 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $63.10 / $79.43
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $91.20 / $95.50
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $23.44 / $24.55
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $67.61 / $70.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $81.28 / $95.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $17.38 / $20.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $64.57 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $407.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $24.55 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $67.61 / $114.82
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $147.91
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $25.12 / $37.15
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $75.86 / $114.82