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Delaware 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
$12.30 / $14.45 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $46.77 / $125.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $14.79 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $33.11 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $50.12 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $12.30 / $19.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $38.90 / $56.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $46.77 / $89.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $12.02 / $21.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $35.48 / $64.57