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Vermont rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $45.71 / $134.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $16.98 / $32.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $32.36 / $102.33
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $56.23 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $56.23 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $15.85 / $44.67
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $34.67 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $51.29 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $15.14 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $36.31 / $89.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $165.96
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $9.55 / $44.67
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $48.98 / $134.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $14.13 / $36.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $34.67 / $100.00