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Montana rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Facilitymedian $324 · 10th–90th $151$6310%10%10th90th$324Professionalmedian $49 · 10th–90th $12$1290%5%10th90th$49$2.0$10.0$50.0$200.0$1.0K

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
TC
Typical Low / Median / Typical High
$204.17 / $354.81 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $57.54 / $190.55
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $21.38 / $57.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$36.31 / $114.82 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $60.26 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.38 / $17.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $57.54 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $64.57 / $112.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $17.38 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $45.71 / $85.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $81.28 / $123.03
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.38 / $17.38 / $21.38
Providence
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $57.54 / $70.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $104.71 / $123.03
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $17.38 / $25.12
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $50.12 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $89.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $11.75 / $31.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $33.11 / $58.88