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Wyoming 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
$10.72 / $10.72 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $56.23 / $91.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $21.38 / $26.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $42.66 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $162.18 / $162.18
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $41.69 / $41.69
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $69.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $18.62 / $34.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $51.29 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $70.79 / $144.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $19.95 / $35.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $50.12 / $109.65