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Indiana rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $104.71 / $132.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.93 / $17.55 / $22.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.10 / $87.29 / $109.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $67.90 / $98.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.00 / $25.50 / $35.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.51 / $42.40 / $65.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.47 / $96.43 / $133.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $96.50 / $181.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.67 / $23.72 / $40.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.08 / $78.45 / $150.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $104.91 / $186.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $20.28 / $35.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.63 / $85.92 / $159.04