go back

Maine rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.97 / $9.97 / $9.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $30.13 / $56.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.64 / $8.18 / $12.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.58 / $22.05 / $43.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.67 / $44.02 / $63.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.09 / $10.96 / $15.26
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.58 / $32.81 / $48.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $45.00 / $73.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $13.19 / $18.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.76 / $32.53 / $55.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.33 / $48.17 / $90.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.31 / $12.40 / $22.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.25 / $48.75 / $72.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $36.15 / $63.90
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.33 / $9.97 / $15.59
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.46 / $26.19 / $48.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $40.13 / $75.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.67 / $12.50 / $20.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.26 / $28.15 / $58.21