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Montana rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $81 · 10th–90th $81$1000%20%40%90th$81Professionalmedian $115 · 10th–90th $50$3720%10%10th90th$115$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
$144.54 / $263.03 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $83.18 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $162.18 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $81.28 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $151.36 / $263.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $354.81
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $100.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $371.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $81.28 / $117.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $141.25 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $208.93 / $354.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $54.95 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $141.25 / $239.88