go back

Arizona rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $38.02 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $141.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $15.85 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $30.20 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.00 / $14.79
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $26.30 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $67.61
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $9.55 / $16.98
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $28.18 / $51.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.63 / $12.30 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $42.66 / $74.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $11.22 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $30.20 / $56.23
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.70 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $251.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $12.02 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $27.54 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.90 / $56.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $10.96 / $16.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $26.92 / $38.90