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Arkansas rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.96 / $12.88 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $37.15 / $97.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $12.02 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $25.70 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $12.02 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $29.51 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $52.48
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $12.02 / $15.14
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $28.84 / $36.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $30.20 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $48.98 / $74.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $14.13 / $21.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $32.36 / $48.98
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $16.22 / $22.91
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $34.67 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $67.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $12.30 / $21.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $26.92 / $45.71