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Montana rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,378.19 / $2,378.19 / $2,616.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.01 / $2,168.23 / $6,551.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.01 / $2,168.23 / $6,551.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.65 / $1,290.28 / $1,627.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.33 / $1,291.81 / $1,814.92