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Missouri 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
$9.43 / $10.77 / $22.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $46.61 / $203.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.43 / $11.11 / $44.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.87 / $33.61 / $112.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $28.95 / $28.95
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $13.40 / $18.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.04 / $25.04 / $25.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.81 / $47.74 / $85.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.09 / $14.45 / $22.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.73 / $34.69 / $63.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.45 / $55.05 / $88.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.36 / $15.41 / $23.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.88 / $41.15 / $65.29
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.22 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.03 / $54.73 / $262.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.98 / $15.47 / $117.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.43 / $39.86 / $201.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $48.77 / $76.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.89 / $13.43 / $22.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.77 / $34.21 / $55.07