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Delaware rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.94 / $10.94 / $19.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $28.63 / $73.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $7.33 / $11.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.46 / $21.39 / $32.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $31.64 / $58.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.78 / $9.08 / $14.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.03 / $22.83 / $43.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.95 / $33.07 / $71.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.99 / $9.86 / $20.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.76 / $24.50 / $51.80