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Arizona rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $83.16 / $113.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.71 / $17.30 / $19.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.59 / $64.22 / $93.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $96.68 / $120.85
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.01 / $14.87 / $18.59
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.58 / $81.81 / $102.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $103.42 / $202.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.09 / $22.27 / $38.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.13 / $81.80 / $165.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.53 / $110.43 / $751.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.02 / $19.73 / $205.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.34 / $90.94 / $630.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.72 / $110.43 / $162.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.76 / $19.48 / $34.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.02 / $88.31 / $129.52