go back

Illinois 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
$245.20 / $436.29 / $802.71
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$294.33 / $420.75 / $1,278.41
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00