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Idaho rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.63 / $20.36 / $21.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $32.81 / $65.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.33 / $8.55 / $17.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.46 / $24.69 / $48.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.79 / $50.63 / $59.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.31 / $13.45 / $15.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.59 / $36.72 / $43.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.52 / $94.52 / $100.47
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.22 / $42.22 / $42.65
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.87 / $51.87 / $58.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $57.17 / $72.53
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.35 / $15.37 / $17.96
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.56 / $43.02 / $49.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $32.34 / $52.29
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $68.50 / $76.90
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.97 / $16.44 / $19.63
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.25 / $52.06 / $57.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.63 / $34.20 / $61.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $9.50 / $17.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.12 / $24.70 / $44.20