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Missouri 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
$13.66 / $20.04 / $32.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $75.26 / $313.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.96 / $17.27 / $83.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.17 / $51.52 / $131.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.58 / $52.41 / $100.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.86 / $13.67 / $18.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.94 / $38.94 / $38.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.73 / $70.79 / $127.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.29 / $20.10 / $37.52
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.44 / $51.12 / $95.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.57 / $16.57 / $16.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $83.02 / $134.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.14 / $21.81 / $35.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.97 / $61.12 / $100.40
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.43 / $126.00 / $126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.34 / $81.73 / $399.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.33 / $21.57 / $151.90
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.93 / $59.69 / $307.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $72.31 / $114.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.75 / $19.23 / $31.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.72 / $53.70 / $85.02