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Montana rates for HCPCS 72190

Radiologic examination, pelvis; complete, minimum of 3 views

Facilitymedian $19 · 10th–90th $19$230%20%40%90th$19Professionalmedian $35 · 10th–90th $12$830%5%10th90th$35$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
$38.02 / $50.12 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $15.85 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $36.31 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $66.07
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $18.20 / $28.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $44.67 / $72.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $74.13 / $109.65
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $23.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $112.20
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $18.62 / $27.54
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $44.67 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $40.74 / $83.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $12.88 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $28.18 / $51.29