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New Hampshire rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $13 · 10th–90th $8$310%20%10th90th$13Professionalmedian $26 · 10th–90th $8$680%5%10th90th$26$5.0$20.0$100.0$500.0

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
$8.32 / $18.62 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $79.43
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $7.94 / $20.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $21.88 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $52.48 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.88 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $38.90 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $51.29 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $13.80 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $38.02 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $64.57 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $14.79 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $45.71 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $13.18 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $35.48 / $77.62
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.03 / $6.61 / $7.94