go back

Minnesota rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $95.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $8.91 / $25.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $24.55 / $53.70
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.17 / $7.08 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $81.28 / $120.23
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $19.95 / $29.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $63.10 / $91.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.76 / $25.12 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $58.88 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $15.49 / $24.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $45.71 / $79.43
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.39 / $27.54 / $54.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $79.43
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $19.05
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $38.90 / $61.66
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $56.23 / $208.93
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $16.22 / $83.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $37.15 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $48.98 / $102.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $14.79 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $35.48 / $75.86