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Vermont rates for HCPCS 72220

Radiologic examination, sacrum and coccyx, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $446.68 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $41.69 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $11.75 / $28.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $30.90 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $416.87 / $524.81
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$109.65 / $109.65 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $47.86 / $138.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $11.22 / $35.48
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $29.51 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $43.65 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $12.02 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $30.20 / $74.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $138.04
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $8.91 / $35.48
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $42.66 / $112.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.48 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $29.51 / $83.18