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Nebraska rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.03 / $26.67 / $72.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $31.96 / $176.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.33 / $10.88 / $20.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.46 / $22.99 / $61.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.65 / $14.19 / $15.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.24 / $61.18 / $62.71
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.21 / $15.18 / $15.96
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.28 / $45.97 / $47.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.82 / $44.82 / $44.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $69.59 / $97.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $17.80 / $23.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.18 / $51.90 / $74.66
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
$35.56 / $57.78 / $210.99
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.24 / $16.35 / $82.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.32 / $41.15 / $159.97
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.90 / $27.69 / $44.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $64.75 / $85.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $26.32 / $56.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $57.10 / $72.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.24 / $16.19 / $20.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.32 / $42.98 / $51.76