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Montana rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $117.49
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $117.49