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Montana rates for HCPCS 72220

Radiologic examination, sacrum and coccyx, minimum of 2 views

Facilitymedian $63 · 10th–90th $38$3630%20%10th90th$63Professionalmedian $30 · 10th–90th $8$710%10%10th90th$30$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $295.12 / $416.87
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $43.65 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $13.80 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $33.88 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $51.29 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $46.77 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.22
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $38.02 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $45.71 / $77.62
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $13.18 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $30.90 / $57.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $56.23 / $85.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $56.23 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $47.86 / $74.13
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.22
Providence
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $38.02 / $47.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $87.10
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $13.18 / $19.05
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.88 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $31.62 / $61.66
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
$19.50 / $22.91 / $43.65