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Pennsylvania rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.90 / $10.35 / $23.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $31.10 / $143.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.84 / $7.90 / $20.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.46 / $23.09 / $43.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $21.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.48 / $11.85 / $13.86
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $44.57 / $52.04
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.36 / $13.04 / $20.23
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.16 / $31.54 / $38.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.30 / $9.30 / $9.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.67 / $36.51 / $59.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.47 / $10.35 / $16.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.05 / $26.03 / $43.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.43 / $43.65 / $52.70
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.21 / $11.05 / $17.34
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.94 / $35.96 / $51.17
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $40.40 / $40.81
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.81 / $9.19 / $13.81
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.29 / $36.29 / $36.29
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.90 / $12.01 / $25.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.02 / $34.92 / $97.85
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.07 / $9.27 / $23.14
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.17 / $25.66 / $56.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $34.19 / $59.50
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.76 / $9.30 / $9.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.67 / $36.49 / $59.97
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.53 / $10.27 / $16.60
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.42 / $26.03 / $43.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.96 / $7.96 / $9.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $31.67 / $34.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.75 / $7.98 / $9.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $23.70 / $26.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $33.76 / $58.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.67 / $9.74 / $16.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.69 / $25.07 / $41.70