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Montana rates for HCPCS 77435

Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.60 / $670.23 / $2,753.65
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
$1,007.43 / $1,007.43 / $1,007.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.43 / $1,245.40 / $3,830.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.25 / $812.47 / $1,226.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.41 / $1,245.40 / $1,985.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.55 / $859.31 / $1,200.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.09 / $870.66 / $1,163.66