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Montana rates for HCPCS 55865

Expos Prostate Insj Radioac Sbst W/Bi Pelv Lymph

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.79 / $7,021.60 / $7,021.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.32 / $2,085.32 / $2,085.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.36 / $2,085.32 / $2,229.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.58 / $2,501.19 / $2,557.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.00 / $1,891.70 / $2,728.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.48 / $2,314.21 / $3,628.76