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Montana rates for HCPCS 77371

Radiation Delivery Stereotactic Cranial Cobalt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,081.10 / $8,081.10 / $8,081.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.02 / $1,590.02 / $1,590.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,962.01 / $2,467.56 / $7,455.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.42 / $2,467.56 / $7,455.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.55 / $1,627.83 / $2,524.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.40 / $2,537.03 / $3,564.38