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Missouri rates for HCPCS 72120

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

Facilitymedian $15 · 10th–90th $10$250%20%10th90th$15Professionalmedian $31 · 10th–90th $10$810%5%10th90th$31$2.0$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
$10.00 / $12.59 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $45.71 / $138.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $15.14 / $31.62
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $32.36 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $8.32 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.80 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $33.88 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $45.71 / $57.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $12.02 / $16.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $33.88 / $42.66
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.63 / $12.30 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $53.70 / $89.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $14.79 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $38.90 / $69.18
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $56.23 / $263.03
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.49 / $117.49
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $39.81 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $85.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $13.18 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $35.48 / $67.61