go back

Virginia rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $99.05 / $118.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.57 / $17.13 / $22.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.96 / $81.83 / $99.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $131.97 / $193.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.13 / $21.58 / $32.76
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.38 / $110.58 / $162.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.10 / $129.61 / $213.63
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.02 / $20.02 / $25.43
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.08 / $99.59 / $124.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.34 / $104.95 / $233.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.27 / $23.95 / $42.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.83 / $84.20 / $199.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.39 / $127.67 / $156.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.93 / $20.92 / $25.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.46 / $107.36 / $131.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $85.00 / $163.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.78 / $106.27 / $221.50
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.39 / $27.10 / $42.91
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.05 / $118.60 / $204.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.30 / $108.68 / $197.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.94 / $23.21 / $35.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.50 / $88.85 / $154.60