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Nebraska rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $22.91 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $57.54 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $18.62 / $28.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $32.36 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $14.45 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $30.20 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $70.79 / $74.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $19.95 / $20.89
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $51.29 / $53.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $74.13 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $20.89 / $30.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $52.48 / $87.10
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
$38.02 / $57.54 / $251.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $18.20 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $39.81 / $181.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $134.90
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $22.91 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $60.26 / $97.72
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $60.26 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $61.66 / $134.90
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $19.05 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $42.66 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $29.51 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $87.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $16.98 / $26.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $36.31 / $60.26