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Montana rates for HCPCS 77771

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.25 / $580.76 / $1,029.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$174.37 / $181.68 / $318.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.33 / $312.33 / $955.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$312.33 / $312.33 / $386.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.57 / $721.15 / $1,156.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$209.91 / $225.39 / $381.43
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$312.33 / $312.33 / $386.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.82 / $801.57 / $1,129.95
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$209.91 / $312.33 / $493.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.58 / $777.10 / $1,075.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$248.39 / $290.70 / $550.38