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Ohio 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
$242.69 / $432.20 / $858.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$411.06 / $411.06 / $411.06
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$411.06 / $411.06 / $411.06