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Louisiana 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
$12.02 / $12.88 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $43.65 / $85.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $12.02 / $31.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $30.20 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $11.75 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $23.99 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $50.12 / $63.10
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $14.13 / $19.05
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $35.48 / $42.66
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $10.47 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $41.69 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $12.02 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $30.90 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $41.69 / $66.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $11.48 / $17.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $29.51 / $46.77