go back

Idaho 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
$24.01 / $27.21 / $27.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.48 / $55.96 / $82.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.02 / $11.82 / $22.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.60 / $41.64 / $59.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $62.96 / $75.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.42 / $17.98 / $21.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.88 / $44.99 / $53.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $143.13 / $189.68
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.11 / $66.11 / $66.64
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.03 / $77.03 / $123.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $78.13 / $95.05
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.07 / $19.67 / $22.91
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.03 / $55.31 / $64.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $32.34 / $63.35
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.03 / $83.57 / $95.05
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.63 / $21.92 / $26.24
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.40 / $61.65 / $68.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $44.93 / $76.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.55 / $12.16 / $21.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.51 / $33.02 / $56.27