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Arizona rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.30 / $27.33 / $34.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $29.83 / $81.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.64 / $7.78 / $17.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.54 / $22.05 / $44.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $29.36 / $33.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.63 / $9.63 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.71 / $29.38 / $36.72
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.80 / $6.63 / $8.28
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.91 / $22.75 / $28.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.30 / $9.30 / $9.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $37.04 / $60.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.81 / $10.06 / $17.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.77 / $25.49 / $43.51
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.39 / $32.67 / $210.99
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $9.02 / $82.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.69 / $23.65 / $159.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.72 / $32.47 / $55.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.07 / $9.02 / $15.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.69 / $23.46 / $38.13