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Maine rates for HCPCS 72202

Radiologic Exam Sacroiliac Joints 3/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.01 / $13.21 / $14.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.94 / $37.54 / $66.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.22 / $9.33 / $16.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.19 / $27.87 / $49.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $51.94 / $75.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.35 / $13.82 / $20.34
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.82 / $37.13 / $54.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.18 / $52.00 / $87.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.63 / $15.61 / $25.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.01 / $37.39 / $63.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.64 / $58.53 / $105.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.19 / $15.88 / $28.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.45 / $42.66 / $76.95
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.01 / $13.21 / $14.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $43.04 / $74.70
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.36 / $13.21 / $22.07
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.19 / $29.83 / $54.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.71 / $46.20 / $95.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.49 / $13.79 / $27.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.22 / $32.04 / $62.11