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California rates for HCPCS 72220

Radiologic examination, sacrum and coccyx, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $218.78 / $851.14
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.41 / $10.00 / $22.91
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$26.30 / $97.72 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $45.71 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $13.49 / $42.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $31.62 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $34.67 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $13.49 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $25.70 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $10.72 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $12.30 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $30.20 / $61.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $102.33 / $263.03
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $42.66 / $85.11
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $12.02 / $21.88
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $30.90 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $199.53 / $524.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.04 / $9.55 / $13.49
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$5.62 / $26.30 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $39.81 / $74.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $10.72 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $28.18 / $56.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $42.66 / $57.54
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $9.55 / $13.18
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $33.11 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $39.81 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $11.22 / $18.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $35.48 / $61.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $363.08 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$154.88 / $154.88 / $154.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $275.42
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $83.18
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $208.93 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $32.36 / $37.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $44.67 / $83.18
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.04 / $9.55 / $13.49
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$5.62 / $26.30 / $38.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $41.69 / $81.28
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $10.23 / $19.95
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $27.54 / $52.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $28.84 / $28.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $75.86 / $75.86
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $47.86 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $138.04 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $31.62 / $67.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $9.12 / $18.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.60 / $22.91 / $48.98