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Arizona rates for HCPCS 77750

Infusion or instillation of radioelement solution (includes 3-month follow-up care)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$361.16 / $873.73 / $1,092.08
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$617.00 / $1,205.01 / $1,205.01