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Montana rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $29.82 / $145.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.33 / $7.78 / $18.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.46 / $22.05 / $43.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $12.62 / $52.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.62 / $12.62 / $15.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $44.16 / $71.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.39 / $12.62 / $20.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.55 / $31.43 / $49.98
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.62 / $12.62 / $15.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $52.58 / $82.96
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $12.62 / $17.20
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.55 / $32.24 / $44.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.76 / $32.47 / $57.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.85 / $9.02 / $15.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.91 / $23.46 / $41.20