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Montana rates for HCPCS 77522

Proton treatment delivery; simple, with 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
$840.78 / $1,123.68 / $1,401.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.00 / $830.00 / $830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.74 / $1,210.09 / $1,567.60