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Minnesota rates for HCPCS 72220

Radiologic examination, sacrum and coccyx, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $199.53 / $407.38
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $7.94 / $20.42
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$25.12 / $25.12 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $41.69 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $13.18 / $34.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $26.92 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $234.42 / $630.96
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.17 / $7.08 / $7.08
BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$18.62 / $21.38 / $21.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $77.62 / $117.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $19.95 / $29.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $60.26 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $123.03 / $295.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.76 / $26.30 / $72.44
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$19.05 / $81.28 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $57.54 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $15.49 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $45.71 / $75.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $117.49 / $229.09
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.44 / $28.84 / $56.23
Health Partners
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$72.44 / $89.13 / $173.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $77.62
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $19.05
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $37.15 / $58.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $64.57 / $257.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$169.82 / $245.47 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $63.10 / $208.93
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $18.20 / $83.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $36.31 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $223.87 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $97.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $14.79 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $34.67 / $72.44