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Montana rates for HCPCS 77761

Intracavitary radiation source application; simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.33 / $443.90 / $2,338.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.39 / $420.11 / $1,168.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.86 / $441.35 / $773.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.39 / $474.36 / $822.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.08 / $555.46 / $773.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.00 / $516.09 / $725.07