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Minnesota 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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $75.86 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $18.62 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $51.29 / $114.82
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.47 / $12.02 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $218.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $35.48 / $52.48
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $117.49 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.02 / $45.71 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $117.49 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $27.54 / $43.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $89.13 / $147.91
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $50.12 / $100.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $147.91
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $21.88 / $34.67
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $72.44 / $112.20
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $28.84 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $81.28 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $107.15 / $186.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $26.92 / $45.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $79.43 / $144.54