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Texas rates for HCPCS 72220

Radiologic examination, sacrum and coccyx, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $213.80 / $489.78
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.37 / $6.92 / $12.30
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$19.50 / $58.88 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $37.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $10.72 / $29.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $23.99 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $27.54 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.31 / $8.13 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $21.88 / $31.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $199.53 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $25.70 / $33.88
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $147.91 / $288.40
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.90 / $57.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $70.79 / $70.79
Christus
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$21.88 / $22.39 / $22.91
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $95.50 / $245.47
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
$23.99 / $33.88 / $66.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $9.77 / $19.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $24.55 / $47.86
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $41.69 / $213.80
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.37 / $6.92 / $11.22
Moda Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$17.78 / $33.11 / $302.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.02 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $10.23 / $24.55
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $26.92 / $51.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $32.36 / $33.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $954.99 / $977.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $30.90 / $63.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $40.74 / $81.28
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
$23.44 / $33.88 / $70.79
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $9.12 / $16.22
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $22.91 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $138.04 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $50.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $8.51 / $14.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $21.88 / $35.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $38.02
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $8.51 / $10.23
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $23.44 / $28.18