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Tennessee 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
$249.29 / $284.54 / $1,348.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$411.06 / $411.06 / $411.06
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$617.00 / $1,327.25 / $1,327.25