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Montana rates for HCPCS 72081

Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $46.77 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $17.78 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $32.36 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.50 / $19.50 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $52.48 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $16.98 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $35.48 / $72.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $74.13 / $112.20
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.50 / $19.50 / $23.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $95.50 / $114.82
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $19.50 / $28.18
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $43.65 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $42.66 / $70.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $14.13 / $23.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $28.18 / $47.86