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California rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.78 / $8.14 / $51.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $32.81 / $150.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.07 / $8.23 / $23.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.46 / $23.82 / $61.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.10 / $44.28 / $180.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.77 / $9.52 / $13.56
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $18.62 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.62 / $37.61 / $73.50
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.99 / $11.39 / $22.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.81 / $26.84 / $54.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $35.40 / $88.85
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.07 / $10.27 / $23.47
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.85 / $25.03 / $61.16
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
$26.41 / $39.78 / $83.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.36 / $10.56 / $23.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.19 / $28.39 / $68.73
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $43.91 / $59.28
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.49 / $9.34 / $12.61
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.13 / $34.57 / $46.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $43.53 / $72.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.23 / $11.21 / $17.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.66 / $40.04 / $64.93
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.90 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.99 / $210.99 / $283.88
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.56 / $82.56 / $82.56
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.97 / $159.97 / $216.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.62 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.30 / $9.30 / $9.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.58 / $43.00 / $88.05
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.36 / $10.24 / $23.37
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.89 / $28.02 / $60.67
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.22 / $106.22 / $106.22
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.64 / $28.64 / $28.64
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.58 / $77.58 / $77.58
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $43.42 / $52.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $33.64 / $81.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.64 / $9.02 / $22.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.63 / $23.46 / $59.94