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Washington rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.12 / $14.13 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $102.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $8.91 / $25.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $24.55 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $14.13 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $48.98 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $13.18 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $37.15 / $77.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $15.85 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $53.70 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $14.79 / $20.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $38.90 / $67.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.18 / $16.22 / $16.60
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $14.79 / $17.78
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $36.31 / $44.67
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.96 / $10.96 / $10.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $97.72
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $17.78 / $25.12
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $56.23 / $74.13
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $66.07 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $16.98 / $22.39
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $50.12 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $35.48 / $83.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $9.33 / $21.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $25.70 / $61.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $66.07
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $9.77 / $16.22
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $30.90 / $50.12