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Montana rates for HCPCS 72126

Computed tomography, cervical spine; with contrast material

Facilitymedian $89 · 10th–90th $89$1120%20%40%90th$89Professionalmedian $195 · 10th–90th $62$4470%5%10th90th$195$50.0$100.0$200.0$500.0$1.0K

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
$181.97 / $346.74 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $102.33 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $223.87 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $275.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $89.13 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $269.15 / $380.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $316.23 / $575.44
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $112.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $467.74
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $89.13 / $131.83
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $218.78 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $416.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $53.70 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $199.53 / $323.59