The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Montana lab & imaging schedule has 2,711 codes.
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Published codes
2,711
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
100%
vs national Medicare, GPCI-neutral
PA required
9
codes flagged by the state
Common lab & imaging procedures and what Montana Medicaid pays
A curated sample of recognizable procedures from the 2,711-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Montana rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $59.49 | 138.1% |
| 70140 | Facial bone X-ray, under 3 views | $43.59 | 137.4% |
| 70160 | Nasal bone X-ray | $51.31 | 137.2% |
| 70220 | Sinus X-ray, 3 or more views | $51.31 | 136% |
| 70360 | Neck soft tissue X-ray | $42.69 | 137.4% |
| 70450 | CT scan of the head without contrast | $147.54 | 138.5% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $219.69 | 138.8% |
| 70486 | CT scan of the face and sinuses without contrast | $177.05 | 138% |
| 70491 | CT scan of neck soft tissue with contrast | $254.21 | 138.6% |
| 70551 | MRI of the brain without contrast | $271.46 | 138.9% |
| 70553 | MRI of the brain without then with contrast | $440.75 | 139.1% |
| 71045 | Chest X-ray, 1 view | $35.42 | 139.6% |
| 71046 | Chest X-ray, 2 views | $45.86 | 138.7% |
| 71047 | Chest X-ray, 3 views | $57.22 | 139.3% |
| 71048 | Chest X-ray, 4 or more views | $62.21 | 138% |
| 71100 | Rib X-ray, one side | $49.95 | 138.5% |
| 71250 | CT scan of the chest without contrast | $183.87 | 138.7% |
| 71260 | CT scan of the chest with contrast | $230.59 | 138.4% |
| 71275 | CT angiography of the chest | $389.94 | 139% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $54.04 | 135.9% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $44.96 | 136% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $54.04 | 133.7% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $70.84 | 132.6% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $179.78 | 137.7% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $178.87 | 137.7% |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Montana Medicaid fee schedules
- Montana physician fee schedule · 7,001 codes
- Montana dme & supplies fee schedule · 1,843 codes
- Montana drugs fee schedule · 895 codes
- Montana other services fee schedule · 726 codes
- Montana anesthesia fee schedule · 275 codes
- Montana vision fee schedule · 145 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does Montana Medicaid pay for laboratory tests and imaging?
Montana Medicaid publishes 2,711 lab & imaging procedure rates effective 2026, paying a median 100% of the national Medicare amount for the same services. The schedule covers blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Montana's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Montana Medicaid pays a median 100% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do lab & imaging services need prior authorization in Montana?
Montana publishes prior-authorization flags on its schedule: 9 lab & imaging codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Montana's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Montana changes these rates.