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Montana rates for HCPCS 49412

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed, single or multiple (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.95 / $80.88 / $421.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.30 / $128.30 / $128.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.02 / $128.30 / $237.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.26 / $110.91 / $151.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.87 / $132.10 / $220.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.10 / $140.94 / $173.96