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Montana rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.31 / $583.48 / $3,088.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.65 / $481.96 / $1,340.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.90 / $593.98 / $1,024.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.65 / $686.76 / $1,080.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.01 / $729.61 / $1,024.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.30 / $683.90 / $1,517.00