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North Carolina 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
$258.33 / $258.33 / $409.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$298.81 / $298.81 / $298.81
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$319.00 / $360.36 / $638.95
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$617.00 / $630.73 / $1,327.25