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Montana rates for HCPCS 77778

Interstitial Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.31 / $794.28 / $967.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$381.39 / $493.44 / $521.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.35 / $720.35 / $1,452.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$720.35 / $720.35 / $890.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.48 / $1,115.68 / $1,724.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$533.88 / $637.01 / $1,132.80
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$720.35 / $720.35 / $890.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.01 / $1,211.29 / $1,713.48
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$533.88 / $950.41 / $1,132.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.41 / $1,107.95 / $1,556.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$560.65 / $723.25 / $1,265.41