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Montana rates for HCPCS 77402

Radiation Treatment Delivery 1 Mev+ Simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.71 / $106.71 / $142.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.28 / $246.35 / $886.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.77 / $199.28 / $389.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.32 / $246.35 / $459.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.49 / $189.75 / $242.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.49 / $181.49 / $181.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.30 / $181.71 / $252.26