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Montana rates for HCPCS 19294

Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for primary procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $281.84 / $316.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $204.17 / $263.03