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Delaware rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.47 / $11.75 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $43.65 / $134.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $12.88 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $28.18 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $39.81 / $64.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $10.72 / $19.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $28.84 / $47.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $13.49 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.90 / $81.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $11.48 / $19.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $26.92 / $58.88