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Vermont rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $50 · 10th–90th $50$500%50%100%$50Professionalmedian $22 · 10th–90th $8$490%10%10th90th$22$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $64.57
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $8.51 / $17.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $21.88 / $38.02
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $141.25
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $11.22 / $33.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $27.54 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $12.02 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $30.20 / $69.18
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $89.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $11.22 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $31.62 / $63.10