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Illinois rates for HCPCS 72202

Radiologic Exam Sacroiliac Joints 3/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.51 / $15.56 / $17.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $38.51 / $79.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.22 / $11.52 / $42.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.19 / $27.37 / $53.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $35.29 / $39.75
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.38 / $11.33 / $14.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.15 / $33.15 / $33.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.51 / $45.69 / $80.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.74 / $49.44 / $74.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.61 / $13.85 / $20.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.56 / $36.10 / $53.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.53 / $64.34 / $203.67
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.78 / $18.02 / $70.06
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.56 / $44.91 / $154.71
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $47.37 / $51.44
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.03 / $13.33 / $14.03
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.18 / $34.35 / $37.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $32.34 / $53.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $45.82 / $72.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.72 / $13.28 / $22.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.63 / $33.36 / $50.24