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Montana rates for HCPCS 72133

Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $93 · 10th–90th $93$1150%20%40%90th$93Professionalmedian $219 · 10th–90th $65$4370%5%10th90th$219$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
$213.80 / $371.54 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $85.11 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $269.15 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $323.59
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $93.33 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $338.84 / $467.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $380.19 / $588.84
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $114.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $457.09 / $549.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $93.33 / $134.90
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $275.42 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $56.23 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $245.47 / $407.38