go back

New Jersey rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.76 / $31.62 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $48.98 / $141.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $14.45 / $32.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $30.20 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $35.48 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $10.00 / $10.47
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $26.30 / $47.86
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $42.66 / $56.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $46.77 / $79.43
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $12.02 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $30.90 / $53.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $14.13 / $19.05
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $40.74 / $56.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $74.13
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $11.22 / $19.95
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $27.54 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.90 / $67.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $11.22 / $19.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $28.18 / $50.12