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Maryland 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
$12.73 / $12.73 / $15.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $75.26 / $302.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.73 / $17.25 / $48.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.58 / $51.21 / $116.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.13 / $70.14 / $89.08
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.44 / $18.27 / $23.20
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.69 / $51.88 / $65.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.26 / $75.77 / $140.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.55 / $18.64 / $34.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.82 / $58.27 / $104.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.82 / $80.70 / $108.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.86 / $19.26 / $31.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.89 / $60.79 / $85.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $64.80 / $104.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.42 / $17.07 / $34.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.19 / $48.96 / $82.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.06 / $69.61 / $90.59
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.94 / $15.83 / $21.59
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.11 / $53.97 / $69.00