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Maine rates for HCPCS 72120

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

Facilitymedian $13 · 10th–90th $13$150%50%90th$13Professionalmedian $33 · 10th–90th $11$790%5%10th90th$33$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.88 / $12.88 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $46.77 / $95.50
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.02 / $28.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $33.11 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $15.14 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $42.66 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $58.88 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $16.22 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $43.65 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $16.22 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $47.86 / $89.13
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.88 / $12.88 / $15.49
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $100.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $13.49 / $26.92
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $40.74 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $61.66 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $16.60 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $45.71 / $95.50