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Missouri rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.47 / $12.88 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $45.71 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $16.22 / $35.48
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $30.90 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $32.36 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.00 / $16.60
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $23.99 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.90 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $11.75 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $28.18 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $42.66 / $57.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $11.75 / $16.60
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $30.90 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $45.71 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $13.18 / $24.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $33.11 / $61.66
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.70 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $51.29 / $251.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $15.14 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $35.48 / $181.97
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $19.50 / $19.50
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $40.74 / $66.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $12.02 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $28.18 / $46.77