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Alaska rates for HCPCS 72202

Radiologic Exam Sacroiliac Joints 3/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.78 / $46.48 / $46.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $38.51 / $126.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.22 / $9.60 / $40.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.19 / $28.90 / $79.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.36 / $95.06 / $139.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.19 / $29.15 / $40.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.17 / $65.91 / $101.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.43 / $114.51 / $245.30
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.88 / $31.84 / $93.08
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.80 / $83.46 / $196.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $159.30 / $239.15
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.75 / $43.20 / $67.50
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.75 / $116.10 / $165.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.83 / $122.50 / $221.34
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.00 / $49.50 / $67.50
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.00 / $111.00 / $165.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $95.74 / $218.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.89 / $32.64 / $73.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.61 / $73.91 / $145.13