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New Mexico rates for HCPCS 72114

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

Facilitymedian $21 · 10th–90th $18$260%20%10th90th$21Professionalmedian $46 · 10th–90th $13$1070%5%10th90th$46$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
$18.20 / $20.89 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.85 / $39.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $50.12 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $41.69 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $89.13 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $22.39 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $66.07 / $102.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $69.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $104.71 / $138.04
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $22.91 / $31.62
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $66.07 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $69.18 / $138.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $18.20 / $37.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $52.48 / $87.10