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Maine rates for HCPCS 72114

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

Facilitymedian $18 · 10th–90th $17$200%20%10th90th$18Professionalmedian $52 · 10th–90th $16$1170%5%10th90th$52$10.0$50.0$200.0$1.0K$5.0K

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
$17.38 / $17.78 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $138.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.95 / $46.77
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $52.48 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $87.10 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $20.42 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $63.10 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $24.55 / $41.69
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $67.61 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $93.33 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $21.88 / $40.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $72.44 / $134.90
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.38 / $17.78 / $2,041.74
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $79.43 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $19.05 / $35.48
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $60.26 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $93.33 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $23.44 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $63.10 / $114.82