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Pennsylvania 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
$13.47 / $16.04 / $41.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $75.19 / $298.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.73 / $17.52 / $46.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.75 / $51.21 / $109.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.93 / $48.13 / $61.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.18 / $20.85 / $24.40
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.33 / $69.20 / $69.20
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $84.72 / $387.23
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.23 / $88.16 / $110.22
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.73 / $23.87 / $42.30
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.50 / $66.31 / $81.86
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
$48.88 / $77.84 / $125.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.82 / $20.42 / $31.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.10 / $57.23 / $91.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.94 / $85.71 / $101.32
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $19.43 / $30.49
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.28 / $66.29 / $94.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.87 / $70.26 / $78.06
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.79 / $17.63 / $27.04
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.00 / $80.22 / $80.78
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $80.38 / $143.22
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.98 / $18.51 / $45.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $77.48 / $197.65
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.98 / $19.32 / $46.39
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.04 / $57.99 / $125.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $61.70 / $104.82
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.98 / $16.57 / $16.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $76.92 / $126.97
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.88 / $20.25 / $31.38
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.40 / $56.67 / $93.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.57 / $14.57 / $19.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $59.46 / $69.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.19 / $14.60 / $19.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.94 / $44.89 / $49.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.01 / $65.75 / $111.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.71 / $17.20 / $30.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.19 / $50.30 / $83.44