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Maryland rates for HCPCS 72202

Radiologic Exam Sacroiliac Joints 3/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.21 / $11.14 / $18.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.31 / $38.51 / $169.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.52 / $10.37 / $41.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.19 / $28.31 / $127.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $39.13 / $44.72
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.76 / $10.02 / $11.46
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.04 / $29.10 / $33.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $41.86 / $88.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.02 / $11.44 / $23.39
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.63 / $31.20 / $64.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.81 / $48.04 / $68.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.91 / $12.42 / $17.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $35.79 / $50.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $38.61 / $65.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.34 / $11.44 / $20.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.45 / $26.10 / $46.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.33 / $44.48 / $58.08
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.22 / $11.52 / $15.71
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.11 / $33.15 / $42.38