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Montana rates for HCPCS 23077

Rad Resection Tumor Soft Tissue Shoulder <5cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.55 / $1,557.35 / $5,846.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,790.35 / $1,790.35 / $1,790.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.33 / $1,790.35 / $1,911.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.02 / $1,216.90 / $1,790.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.28 / $1,790.35 / $2,352.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.22 / $1,899.49 / $2,075.67