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Montana rates for HCPCS 77306

Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.21 / $138.21 / $156.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.98 / $233.98 / $233.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.15 / $115.15 / $142.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.26 / $189.64 / $279.38
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.15 / $115.15 / $142.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.28 / $196.15 / $277.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.59 / $190.83 / $268.10