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Arizona rates for HCPCS 72120

Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.07 / $33.56 / $45.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $48.89 / $116.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.46 / $10.75 / $16.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.29 / $36.58 / $59.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.38 / $26.38 / $26.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.14 / $12.38 / $14.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.02 / $35.45 / $44.31
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.44 / $8.50 / $10.63
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.58 / $26.94 / $33.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.01 / $53.89 / $85.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.08 / $13.25 / $23.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.93 / $40.24 / $64.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $48.13 / $262.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $11.91 / $117.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.51 / $36.86 / $201.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $44.93 / $75.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $11.55 / $21.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.51 / $33.85 / $61.17