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Virginia 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
$235.71 / $404.18 / $971.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$298.81 / $298.81 / $298.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$260.66 / $341.90 / $376.97
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$319.00 / $357.47 / $776.53