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Montana rates for HCPCS 77750

Infusion or instillation of radioelement solution (includes 3-month follow-up care)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$411.18 / $411.18 / $508.30
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$411.18 / $411.18 / $508.30