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Michigan rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $10 · 10th–90th $9$120%50%10th90th$10Professionalmedian $25 · 10th–90th $8$660%5%10th90th$25$5.0$10.0$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.91 / $9.77 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $87.10
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.31 / $10.96 / $25.12
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $25.70 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.76 / $8.13 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $53.70
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $17.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $40.74 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.61 / $10.72 / $20.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $26.92 / $66.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.02 / $19.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $81.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $10.23 / $22.91
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $27.54 / $54.95
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $53.70
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $9.77 / $16.98
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $23.44 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.88 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.47 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $24.55 / $95.50