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Minnesota rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.00 / $10.00 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $45.71 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $16.60 / $33.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $30.20 / $79.43
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.76 / $8.91 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $93.33 / $141.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $25.70 / $38.02
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $70.79 / $102.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.71 / $33.88 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $69.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $19.50 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $51.29 / $91.20
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $37.15 / $74.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $93.33
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $15.85 / $24.55
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $43.65 / $69.18
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $75.86 / $251.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $22.39 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $44.67 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $57.54 / $117.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $16.60 / $33.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $42.66 / $87.10