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Virginia rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.51 / $13.80 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $48.98 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $16.60 / $32.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $30.90 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $50.12 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $13.49 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $36.31 / $56.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $44.67 / $114.82
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $11.22 / $16.98
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $29.51 / $50.12
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
$29.51 / $43.65 / $81.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $11.75 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $31.62 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $45.71 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $11.75 / $15.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $33.88 / $42.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $53.70 / $85.11
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $16.60 / $23.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $63.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $40.74 / $162.18
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $12.88 / $23.99
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $35.48 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $11.75 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $28.84 / $50.12