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Montana rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.56 / $147.52 / $785.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.53 / $111.42 / $309.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.72 / $205.06 / $314.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.53 / $160.60 / $309.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.11 / $181.49 / $241.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.41 / $144.47 / $244.65