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Texas 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
$9.34 / $12.09 / $19.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.33 / $63.39 / $170.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.94 / $14.55 / $30.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.16 / $44.43 / $81.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $48.25 / $78.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.18 / $15.38 / $28.66
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.22 / $34.22 / $57.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $44.24 / $63.53
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.61 / $85.16 / $113.54
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.84 / $14.67 / $22.29
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
$48.25 / $70.69 / $124.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.96 / $18.34 / $34.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.94 / $51.52 / $91.13
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.08 / $126.00 / $126.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.42 / $399.42 / $516.67
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.90 / $151.90 / $151.90
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$307.58 / $307.58 / $397.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $98.21 / $140.87
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.50 / $23.48 / $56.92
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $74.73 / $181.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $54.27 / $101.40
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.57 / $16.57 / $16.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $78.78 / $161.97
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.21 / $17.67 / $32.42
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.94 / $50.74 / $89.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.23 / $64.02 / $101.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.71 / $16.17 / $26.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.04 / $47.82 / $73.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.80 / $56.77 / $80.80
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.14 / $13.98 / $19.29
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.65 / $42.79 / $61.51