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Utah rates for HCPCS 72120

Radex Spine Lumbosacral Only Bending 2/3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.21 / $13.21 / $13.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.67 / $56.04 / $203.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.65 / $12.02 / $22.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.28 / $42.83 / $67.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $57.78 / $86.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.44 / $15.24 / $23.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $42.76 / $62.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $29.37 / $39.23
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.48 / $75.76 / $81.73
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.87 / $19.87 / $25.78
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.61 / $52.42 / $60.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $44.93 / $74.16
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.98 / $11.89 / $19.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.51 / $35.95 / $48.46