go back

Arizona rates for HCPCS 77404

Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 11-19Mev

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.33 / $424.02 / $424.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.55 / $525.55 / $525.55