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New Hampshire rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.03 / $31.04 / $31.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $30.12 / $82.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.52 / $7.78 / $21.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.58 / $21.81 / $61.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.49 / $26.49 / $26.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.09 / $6.48 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.67 / $47.96 / $67.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.09 / $11.87 / $16.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.58 / $36.09 / $50.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.30 / $60.36 / $102.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.37 / $16.23 / $23.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.49 / $43.14 / $77.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $62.27 / $123.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.26 / $14.62 / $30.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.14 / $49.42 / $92.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $42.22 / $73.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.46 / $11.33 / $22.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.21 / $30.34 / $54.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $29.88 / $45.12
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.73 / $8.07 / $10.91
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.61 / $21.95 / $30.25