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South Carolina rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.83 / $6.84 / $11.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $27.14 / $60.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.83 / $7.33 / $14.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.64 / $20.03 / $31.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $32.51 / $32.51
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.83 / $7.83 / $14.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $36.75 / $66.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.83 / $12.00 / $25.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.41 / $24.79 / $42.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $37.26 / $67.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.93 / $11.21 / $19.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.14 / $25.88 / $47.64
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.15 / $15.00 / $24.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.10 / $117.10 / $117.10
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.77 / $29.77 / $29.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $34.77 / $51.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $36.61 / $61.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.92 / $10.61 / $17.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.19 / $25.42 / $43.94