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Hawaii 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
$271.10 / $307.24 / $361.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$275.77 / $321.30 / $374.85