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Wyoming rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.23 / $10.23 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $97.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $16.98 / $23.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $33.88 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $154.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $41.69 / $41.69
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $63.10 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $16.98 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $45.71 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $67.61 / $112.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $19.95 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $46.77 / $79.43