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Idaho rates for HCPCS 72220

Radiologic examination, sacrum and coccyx, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.81 / $279.89 / $351.19
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.18 / $21.14 / $21.32
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$39.22 / $56.74 / $329.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $38.93 / $74.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.33 / $9.52 / $20.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.14 / $29.17 / $47.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.60 / $273.04 / $498.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.79 / $49.59 / $58.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.31 / $13.97 / $16.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.22 / $35.61 / $41.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.87 / $95.87 / $100.85
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.01 / $41.01 / $58.56
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.31 / $37.31 / $59.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.94 / $57.85 / $78.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.31 / $60.23 / $70.37
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.35 / $15.37 / $17.96
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.96 / $44.86 / $55.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $32.34 / $56.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.19 / $206.06 / $311.69
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.94 / $156.94 / $156.94
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$156.94 / $156.94 / $156.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.06 / $67.13 / $76.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.56 / $17.13 / $20.39
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.51 / $50.01 / $55.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.61 / $33.44 / $59.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $9.50 / $17.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.10 / $23.94 / $42.84