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Massachusetts rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.03 / $13.80 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.02 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $10.96 / $25.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $24.55 / $61.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $42.66 / $208.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $11.75 / $83.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $33.11 / $158.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $16.22 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $47.86 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $12.88 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $38.02 / $74.13
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $39.81 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $53.70 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $12.88 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $38.90 / $70.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.13 / $52.48
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $43.65 / $208.93
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $11.75 / $83.18
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $33.11 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $43.65 / $95.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $11.75 / $22.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $32.36 / $69.18