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Washington 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
$16.44 / $27.27 / $45.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.94 / $80.73 / $178.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.62 / $17.91 / $38.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.72 / $61.03 / $117.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.13 / $114.72 / $130.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.04 / $23.64 / $28.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $126.00 / $126.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.80 / $149.16 / $531.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.87 / $35.72 / $151.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.59 / $114.89 / $411.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.63 / $115.01 / $199.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.48 / $28.13 / $43.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.38 / $87.71 / $156.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.27 / $33.97 / $290.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $128.31 / $174.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.64 / $33.04 / $43.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.68 / $96.72 / $130.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $72.92 / $159.77
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.65 / $28.81 / $32.83
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.89 / $27.37 / $34.78
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.27 / $79.65 / $95.70
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.48 / $19.48 / $19.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.88 / $142.41 / $172.46
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.68 / $33.75 / $40.94
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.20 / $109.13 / $132.16
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.47 / $126.04 / $166.86
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.64 / $29.76 / $43.23
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.31 / $97.57 / $132.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.27 / $72.95 / $165.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.52 / $18.39 / $41.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.75 / $53.70 / $129.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $70.54 / $70.54
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.41 / $15.41 / $15.41
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.13 / $55.13 / $55.13