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Montana rates for HCPCS 77407

Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $338.84 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $275.42 / $537.03
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $302.00 / $794.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $794.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $323.59 / $630.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $186.21 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $275.42 / $371.54