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Indiana rates for HCPCS 72120

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

Facilitymedian $15 · 10th–90th $10$190%20%10th90th$15Professionalmedian $31 · 10th–90th $10$720%5%10th90th$31$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.14 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $45.71 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $16.60 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $30.90 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $31.62 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $15.49 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $30.90 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $14.45 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $32.36 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $33.11 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $14.13 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $39.81 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $79.43
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $12.30 / $22.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $33.11 / $57.54