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Montana rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $17 · 10th–90th $17$210%20%40%90th$17Professionalmedian $35 · 10th–90th $11$1000%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
$33.11 / $54.95 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $18.20 / $45.71
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $38.90 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $53.70 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $15.85 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $38.02 / $67.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $67.61 / $102.33
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $20.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $87.10 / $104.71
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $15.85 / $24.55
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $40.74 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $74.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $12.02 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $26.92 / $53.70