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Oklahoma rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.55 / $8.07 / $46.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $29.82 / $33.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.46 / $7.71 / $8.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.45 / $22.05 / $24.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.73 / $23.73 / $32.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.22 / $6.22 / $10.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $30.10 / $41.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.79 / $7.79 / $12.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $27.99 / $43.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.98 / $8.25 / $12.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.65 / $19.73 / $31.78
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.60 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $35.72 / $210.99
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.67 / $9.18 / $82.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.94 / $22.76 / $159.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.61 / $30.86 / $49.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.67 / $8.57 / $13.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.59 / $22.29 / $37.24