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Tennessee rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.93 / $12.02 / $45.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $28.49 / $49.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.93 / $7.71 / $13.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.38 / $21.03 / $36.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $32.58 / $54.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.14 / $6.48 / $9.63
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.18 / $40.18 / $40.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.70 / $40.50 / $69.55
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.70 / $12.94 / $20.78
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.60 / $28.72 / $51.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.30 / $9.30 / $10.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.75 / $37.65 / $65.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.25 / $11.83 / $19.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.77 / $26.80 / $50.79
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.90 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.99 / $210.99 / $283.88
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.56 / $82.56 / $82.56
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.97 / $159.97 / $216.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $34.63 / $61.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.27 / $9.92 / $18.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.57 / $24.19 / $44.02