go back

New Hampshire rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.32 / $18.62 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $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
$16.98 / $22.91 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $10.72 / $10.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $52.48 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $12.88 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $38.90 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $53.70 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $16.60 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $40.74 / $77.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $64.57 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $15.14 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $45.71 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $85.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.75 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $33.11 / $60.26
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.13 / $6.03 / $6.03