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New Jersey rates for HCPCS 72114

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

Facilitymedian $39 · 10th–90th $14$1020%10%10th90th$39Professionalmedian $50 · 10th–90th $14$1200%5%10th90th$50$10.0$20.0$50.0$100.0$200.0$500.0

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
$14.45 / $38.90 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.05 / $42.66
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $51.29 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $56.23 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $20.89 / $25.70
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $147.91
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $32.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $20.42 / $33.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $57.54 / $102.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $104.71
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $19.50 / $23.44
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $69.18 / $81.28
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $128.82
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $14.45 / $31.62
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $46.77 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $17.78 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $53.70 / $91.20