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Montana rates for HCPCS 77525

Proton treatment delivery; complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.98 / $2,321.98 / $2,554.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.70 / $2,409.32 / $7,279.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.70 / $2,409.32 / $7,279.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.49 / $1,456.87 / $1,800.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.88 / $1,442.05 / $2,026.00