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Utah rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.41 / $9.41 / $9.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $32.81 / $169.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $9.05 / $17.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.46 / $22.89 / $48.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.79 / $38.35 / $62.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.82 / $11.40 / $17.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.48 / $26.95 / $45.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $28.89 / $38.52
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.57 / $55.08 / $63.60
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.90 / $14.90 / $18.77
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.89 / $39.52 / $45.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.76 / $32.47 / $53.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.36 / $9.02 / $15.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.91 / $23.46 / $38.71