go back

Alaska rates for HCPCS 73030

Radiologic examination, shoulder; complete, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.05 / $502.47 / $839.86
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.83 / $56.85 / $72.67
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$89.17 / $458.00 / $720.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.71 / $58.28 / $178.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.56 / $17.35 / $71.98
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.00 / $100.00 / $122.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.14 / $40.93 / $108.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.22 / $386.22 / $386.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.45 / $84.73 / $122.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.74 / $29.86 / $33.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.70 / $54.87 / $91.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.49 / $191.90 / $812.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $100.92 / $255.58
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.83 / $26.19 / $77.16
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.56 / $74.73 / $178.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.25 / $141.75 / $207.86
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.75 / $39.15 / $60.35
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.50 / $105.30 / $147.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.49 / $46.19 / $386.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.29 / $106.60 / $197.54
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.00 / $40.50 / $61.29
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.04 / $99.00 / $146.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.98 / $89.35 / $199.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.21 / $27.50 / $66.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.77 / $66.15 / $133.08