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Texas rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.92 / $7.94 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $40.74 / $134.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $12.88 / $31.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $28.18 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.47 / $17.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $26.30 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $29.51 / $40.74
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $38.90 / $64.57
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $23.44 / $23.44
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
$28.18 / $39.81 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $11.48 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $29.51 / $56.23
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $331.13
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $97.72 / $97.72
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $245.47 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.92 / $8.51 / $15.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $45.71 / $102.33
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $12.88 / $28.18
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $31.62 / $63.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $37.15 / $77.62
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.63 / $12.30 / $17.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $87.10
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $10.96 / $19.50
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $26.92 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $60.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $10.72 / $17.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $25.70 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.90 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $10.47 / $12.59
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $28.18 / $33.88