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New York 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
$12.50 / $18.18 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.35 / $74.63 / $158.85
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.50 / $17.26 / $39.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.85 / $51.20 / $99.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.93 / $54.48 / $55.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.30 / $11.78 / $21.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.27 / $59.85 / $158.79
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.96 / $13.03 / $36.92
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.81 / $46.82 / $112.96
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.10 / $65.79 / $86.89
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
$49.37 / $95.52 / $222.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.43 / $21.81 / $47.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.97 / $69.78 / $171.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.77 / $82.40 / $124.89
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.86 / $19.30 / $30.49
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.63 / $62.22 / $99.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.66 / $71.87 / $128.81
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.35 / $19.41 / $30.76
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.79 / $54.71 / $98.06
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.11 / $66.61 / $67.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.27 / $66.17 / $145.88
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.21 / $18.59 / $30.54
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.84 / $45.84 / $45.84
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.57 / $16.57 / $16.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.67 / $90.80 / $204.96
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.22 / $21.02 / $43.77
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.82 / $60.50 / $149.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.65 / $63.47 / $138.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.61 / $15.51 / $33.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.04 / $47.95 / $97.45
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.88 / $16.88 / $58.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $90.17 / $163.83
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.35 / $22.02 / $39.52
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.33 / $68.16 / $124.31