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Montana rates for HCPCS 72120

Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views

Facilitymedian $17 · 10th–90th $17$210%20%40%90th$17Professionalmedian $38 · 10th–90th $11$950%5%10th90th$38$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $17.78 / $26.92
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $45.71 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $64.57
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $16.98 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $47.86 / $72.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $70.79 / $109.65
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $20.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $91.20 / $109.65
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $16.98 / $24.55
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $47.86 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $47.86 / $85.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $11.75 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $36.31 / $77.62