go back

Wyoming rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.03 / $8.03 / $8.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $27.02 / $39.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.47 / $7.33 / $9.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.25 / $20.18 / $30.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $139.00 / $139.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.00 / $34.00 / $34.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.00 / $105.00 / $105.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.79 / $41.97 / $79.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.86 / $12.64 / $23.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.48 / $27.91 / $54.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $57.04 / $96.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.49 / $16.25 / $27.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.41 / $40.95 / $70.20