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Montana rates for HCPCS 72142

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)

Facilitymedian $132 · 10th–90th $132$1620%20%40%90th$132Professionalmedian $339 · 10th–90th $107$8510%5%10th90th$339$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
$302.00 / $524.81 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $141.25 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $338.84 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $562.34
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $131.83 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $389.05 / $724.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $933.25
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $162.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $645.65 / $794.33
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $131.83 / $194.98
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $331.13 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $467.74 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $83.18 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $346.74 / $588.84