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Maryland rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.92 / $8.32 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.90 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.92 / $12.30 / $23.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $25.70 / $58.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $32.36 / $38.90
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $7.94 / $10.00
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $29.51 / $33.11
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.88 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.31 / $9.55 / $18.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $25.12 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $39.81 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $9.55 / $13.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $30.20 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $32.36 / $57.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $9.12 / $15.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $23.44 / $42.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $41.69 / $53.70
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.50 / $10.00 / $12.59
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $31.62 / $41.69