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Wyoming 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
$14.13 / $14.13 / $14.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.63 / $67.39 / $84.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.59 / $16.44 / $71.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.04 / $51.21 / $66.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.00 / $261.00 / $261.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.00 / $62.00 / $62.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.00 / $199.00 / $199.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.03 / $97.58 / $176.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.89 / $24.16 / $45.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.03 / $72.30 / $127.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.39 / $105.84 / $243.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.38 / $27.26 / $57.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.06 / $86.37 / $134.25