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Missouri rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $13 · 10th–90th $10$250%20%10th90th$13Professionalmedian $28 · 10th–90th $10$720%5%10th90th$28$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.47 / $12.88 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $141.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $15.14 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $30.90 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $7.94 / $17.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $11.75 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $28.18 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $52.48
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $11.75 / $14.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $30.90 / $39.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.63 / $12.30 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $13.18 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $33.11 / $61.66
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $251.19
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $15.14 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $34.67 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $79.43
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $12.59 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $29.51 / $60.26