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New York rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.92 / $96.57 / $172.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.57 / $18.14 / $32.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.35 / $79.42 / $144.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $88.73 / $220.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.98 / $18.02 / $43.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.03 / $70.81 / $179.58
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.66 / $134.54 / $162.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $127.96 / $376.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.31 / $26.28 / $58.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.89 / $110.85 / $315.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.83 / $128.83 / $223.10
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.68 / $24.44 / $38.90
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.83 / $121.41 / $194.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $138.02 / $243.33
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.35 / $24.75 / $40.65
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.60 / $115.34 / $203.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.49 / $109.49 / $109.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.30 / $140.63 / $316.08
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.78 / $25.04 / $53.61
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.04 / $110.85 / $285.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.53 / $109.72 / $231.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.13 / $19.82 / $51.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.83 / $90.94 / $190.26
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.41 / $161.09 / $298.12
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.35 / $28.08 / $50.88
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.07 / $133.01 / $249.13