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Montana rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

Facilitymedian $617 · 10th–90th $468–$1,0470%20%10th90th$617Professionalmedian $417 · 10th–90th $245–$7590%10%20%10th90th$417$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $380.19 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $489.78 / $851.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $630.96 / $776.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $630.96 / $776.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $446.68 / $707.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $478.63 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $616.60 / $933.25