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Montana rates for HCPCS 77520

Proton treatment delivery; simple, without compensation

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.78 / $1,871.13 / $5,653.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.78 / $1,871.13 / $5,653.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.51 / $1,123.68 / $1,397.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.00 / $830.00 / $830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.73 / $1,212.26 / $1,568.34