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Michigan rates for HCPCS 72120

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

Facilitymedian $13 · 10th–90th $13$160%50%90th$13Professionalmedian $35 · 10th–90th $11$950%5%10th90th$35$5.0$10.0$20.0$50.0$100.0$200.0

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
$12.59 / $12.59 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $54.95 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $16.60 / $40.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $37.15 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $10.47 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $64.57
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $40.74 / $47.86
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $35.48 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $53.70 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $13.80 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $39.81 / $79.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.59 / $28.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $52.48 / $112.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $14.13 / $32.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $37.15 / $79.43
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $77.62
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.88 / $22.39
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $35.48 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $13.18 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $37.15 / $95.50