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Montana rates for HCPCS 77401

Radiation treatment delivery, superficial and/or ortho voltage, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.16 / $143.16 / $143.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.18 / $49.92 / $75.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.44 / $33.19 / $43.73