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Maine rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $10 · 10th–90th $10$100%50%100%$10Professionalmedian $26 · 10th–90th $8$590%5%10th90th$26$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $72.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $8.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $25.70 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $46.77 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $11.48 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $33.88 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $42.66 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.02 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $30.90 / $61.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $51.29 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.59 / $23.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $38.90 / $72.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $10.00 / $19.50
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $26.92 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $12.88 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.11 / $95.50