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Vermont rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $7.94 / $26.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $25.12 / $37.15
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $141.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $11.22 / $33.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $27.54 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $43.65 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $12.02 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $30.90 / $77.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $141.25
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $8.91 / $33.88
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $114.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $11.48 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $29.51 / $87.10