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Montana rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.71 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $14.13 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $32.36 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.98 / $16.98 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $48.98 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $14.13 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $34.67 / $67.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $67.61 / $102.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.98 / $16.98 / $20.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $87.10 / $104.71
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $15.85 / $24.55
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $41.69 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.90 / $64.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $12.02 / $19.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $26.92 / $44.67