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Montana rates for HCPCS 61797

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.68 / $322.30 / $1,926.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.03 / $347.03 / $347.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.87 / $347.03 / $384.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.23 / $373.10 / $398.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.30 / $313.99 / $452.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $374.65 / $604.94