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Montana rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Facilitymedian $229 · 10th–90th $182–$3390%20%40%10th90th$229Professionalmedian $155 · 10th–90th $135–$4370%20%10th90th$155$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $147.91 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $204.17 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $229.09 / $588.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $229.09 / $588.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $199.53 / $309.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $204.17 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $144.54 / $263.03