go back

Maryland rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $19.05 / $51.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $93.33 / $190.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $112.20 / $128.82
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $19.95 / $22.91
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $95.50 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $104.71 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $21.38 / $42.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $87.10 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $134.90 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $21.38 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $112.20 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $107.15 / $190.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $19.50 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $83.18 / $158.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $138.04 / $190.55
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $22.39 / $28.84
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $117.49 / $162.18