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New Hampshire rates for HCPCS 72202

Radiologic Exam Sacroiliac Joints 3/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $16.14 / $34.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $35.32 / $97.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.03 / $9.33 / $24.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.78 / $25.99 / $73.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $40.69 / $54.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.27 / $10.19 / $34.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $56.04 / $79.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.35 / $15.20 / $21.45
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.82 / $40.84 / $57.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.72 / $72.18 / $120.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.89 / $18.78 / $32.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.76 / $52.40 / $88.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.70 / $75.59 / $143.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.85 / $19.48 / $36.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.85 / $53.03 / $104.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $50.21 / $89.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.17 / $15.42 / $24.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.97 / $34.72 / $65.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $35.46 / $53.56
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.06 / $10.29 / $13.43
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.84 / $25.00 / $40.53