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Louisiana rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.02 / $13.80 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $41.69 / $77.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $12.88 / $26.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $28.84 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $31.62 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.00 / $15.14
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
$40.74 / $47.86 / $56.23
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $14.13 / $17.38
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $33.88 / $38.02
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $36.31 / $69.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.76 / $10.96 / $19.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $26.30 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $37.15 / $57.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $11.22 / $16.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $25.70 / $39.81