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Michigan rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.91 / $9.77 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $85.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $10.23 / $25.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $25.12 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.31 / $8.13 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $50.12 / $53.70
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $13.18 / $17.78
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $40.74 / $54.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.04 / $9.55 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $43.65 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.92 / $11.75 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $33.11 / $72.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.91 / $12.02 / $19.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $74.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.76 / $9.77 / $21.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $26.92 / $50.12
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.04 / $9.55 / $13.49
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $72.44
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.89 / $9.55 / $21.38
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $23.44 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $31.62 / $48.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $9.33 / $14.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $22.39 / $35.48