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New Hampshire rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $13 · 10th–90th $9$350%20%10th90th$13Professionalmedian $30 · 10th–90th $10$810%5%10th90th$30$5.0$20.0$100.0$500.0

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
$9.33 / $13.49 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.90 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $12.88 / $26.92
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $28.18 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $41.69 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $61.66 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $16.60 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $44.67 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $107.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $16.22 / $28.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $44.67 / $87.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $70.79 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $18.62 / $27.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $51.29 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $56.23 / $138.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $16.60 / $31.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $38.90 / $87.10
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $8.71 / $10.47