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New York rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.08 / $13.18 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $52.48 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $15.85 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $30.90 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.84 / $31.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $8.51 / $10.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $18.20 / $26.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $9.55 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $26.92 / $56.23
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $38.90 / $54.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.63 / $12.30 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $52.48 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $14.79 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $38.02 / $134.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $79.43
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $15.49 / $30.90
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $40.74 / $58.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $51.29 / $93.33
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $14.13 / $25.70
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $37.15 / $66.07
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $37.15 / $53.70
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $10.72 / $18.20
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $46.77 / $46.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $52.48 / $102.33
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $15.85 / $28.84
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $35.48 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $38.02 / $77.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $11.22 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $26.92 / $54.95
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.91 / $12.59 / $30.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $51.29 / $97.72
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $14.13 / $29.51
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $37.15 / $72.44