go back

Nebraska rates for HCPCS 72114

Radex Spine Lumbscrl Compl W/Bending Views Min 6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $50.65 / $136.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $131.97 / $335.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.06 / $34.90 / $83.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.72 / $61.03 / $116.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.57 / $61.36 / $61.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.38 / $26.25 / $32.79
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.55 / $85.55 / $85.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.48 / $112.76 / $115.58
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.35 / $27.10 / $29.10
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.15 / $85.68 / $87.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.98 / $79.98 / $79.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.39 / $130.94 / $179.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.30 / $32.08 / $41.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.56 / $99.64 / $137.69
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.00 / $126.00 / $126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $108.10 / $399.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.82 / $29.24 / $151.90
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.54 / $80.54 / $307.58
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.35 / $54.91 / $79.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.09 / $129.11 / $164.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $55.59 / $103.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $108.10 / $135.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.82 / $28.98 / $37.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.54 / $78.86 / $99.22