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Montana rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $13 · 10th–90th $13$150%20%40%90th$13Professionalmedian $27 · 10th–90th $8$650%5%10th90th$27$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
$29.51 / $42.66 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $10.96 / $18.62
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $30.20 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $52.48 / $52.48
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $12.59 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $45.71 / $79.43
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $12.59 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $31.62 / $60.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $87.10
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $12.59 / $15.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $87.10
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.59 / $19.05
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $33.88 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $63.10
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $9.12 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $23.44 / $45.71