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Utah 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
$277.99 / $277.99 / $277.99
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$439.86 / $439.86 / $439.86