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California 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
$10.75 / $11.14 / $65.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $52.18 / $207.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.57 / $11.11 / $48.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.91 / $41.42 / $159.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $53.47 / $83.61
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.53 / $17.44 / $25.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.83 / $60.19 / $116.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.61 / $14.60 / $28.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.44 / $45.69 / $86.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $51.28 / $124.85
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.34 / $13.21 / $30.70
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.34 / $38.04 / $100.00
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
$36.52 / $57.06 / $114.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.78 / $13.59 / $30.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.16 / $43.27 / $86.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $53.01 / $71.56
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.34 / $12.02 / $16.23
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.27 / $40.99 / $55.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.85 / $52.57 / $91.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.58 / $14.42 / $22.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.79 / $47.48 / $76.95
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.90 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.94 / $264.31 / $342.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.24 / $117.24 / $117.24
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.73 / $207.78 / $255.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $33.11
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $64.06 / $113.64
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.82 / $13.50 / $29.41
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.16 / $43.76 / $85.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.22 / $131.22 / $131.22
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.79 / $36.79 / $36.79
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.41 / $94.41 / $94.41
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.87 / $58.95 / $84.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.09 / $45.76 / $105.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.52 / $11.91 / $35.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.38 / $33.02 / $82.41