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Oklahoma rates for HCPCS 72114

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

Facilitymedian $18 · 10th–90th $11$1000%20%10th90th$18Professionalmedian $48 · 10th–90th $14$850%5%10%10th90th$48$10.0$20.0$50.0$100.0$200.0

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
$10.96 / $18.20 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $18.62 / $56.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $50.12 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $57.54 / $77.62
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.60 / $16.60 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $60.26 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $17.38 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $43.65 / $69.18
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $125.89 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $17.38 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $52.48 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $16.22 / $29.51
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $42.66 / $67.61