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Idaho rates for HCPCS 72114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.43 / $36.75 / $36.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.39 / $82.79 / $141.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.17 / $18.98 / $35.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.21 / $62.80 / $106.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.66 / $95.80 / $112.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.95 / $24.28 / $29.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.42 / $71.52 / $84.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.36 / $213.36 / $232.84
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.20 / $76.20 / $104.58
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.78 / $108.78 / $156.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.21 / $113.09 / $133.65
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.48 / $24.90 / $31.59
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.73 / $86.05 / $93.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $32.34 / $95.38
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.13 / $126.04 / $144.60
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.04 / $29.46 / $35.81
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.10 / $96.59 / $108.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.27 / $67.39 / $124.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.52 / $17.02 / $29.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.75 / $51.25 / $93.23