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Texas rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.17 / $6.73 / $10.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $29.55 / $56.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.57 / $7.33 / $12.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.19 / $21.36 / $34.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $33.09 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.56 / $13.10 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $23.11 / $35.67
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $38.00 / $55.48
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.86 / $7.86 / $8.55
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
$23.96 / $33.00 / $61.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.68 / $9.50 / $17.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.12 / $24.37 / $44.26
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $50.56 / $74.62
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.52 / $13.35 / $40.84
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.95 / $40.56 / $98.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $30.40 / $57.07
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.30 / $9.30 / $9.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $38.04 / $82.96
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.81 / $9.25 / $16.57
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.12 / $23.56 / $43.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $30.86 / $51.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.22 / $8.57 / $14.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.72 / $22.29 / $36.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $31.17 / $44.33
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.90 / $7.94 / $10.96
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.98 / $23.23 / $33.36