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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
$131.83 / $151.36 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $114.82 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $281.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $257.04 / $794.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $114.82 / $141.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $204.17 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $190.55 / $257.04