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New Hampshire rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $13.49 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $40.74 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $14.79 / $28.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $28.84 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $33.88 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $13.18 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $61.66 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $16.60 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $44.67 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $63.10 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $18.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $45.71 / $87.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $18.62 / $27.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $48.98 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $51.29 / $97.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $14.79 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $37.15 / $67.61
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $7.94 / $7.94