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New Hampshire rates for HCPCS 72120

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

Facilitymedian $20 · 10th–90th $11$410%20%10th90th$20Professionalmedian $35 · 10th–90th $11$830%5%10th90th$35$5.0$20.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.48 / $20.42 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $100.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $12.02 / $22.91
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
$34.67 / $34.67 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $11.22 / $13.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $63.10 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $16.60 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $46.77 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $69.18 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $16.98 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $54.95 / $91.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $75.86 / $117.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $19.05 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $56.23 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $64.57 / $147.91
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $16.60 / $32.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $47.86 / $95.50
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $8.71 / $10.47