go back

Louisiana rates for HCPCS 72202

Radiologic Exam Sacroiliac Joints 3/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.05 / $13.69 / $16.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.38 / $40.70 / $66.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.22 / $12.95 / $17.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.08 / $27.86 / $49.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $29.39 / $29.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.03 / $11.25 / $11.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.84 / $50.31 / $59.87
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.64 / $15.14 / $17.77
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.19 / $35.75 / $46.24
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $10.24 / $23.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $37.36 / $67.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.67 / $11.01 / $20.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.32 / $28.71 / $47.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.66 / $38.61 / $60.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.11 / $11.88 / $17.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.89 / $26.71 / $40.72