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Arizona rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.79 / $200.28 / $250.33
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.60 / $274.01 / $274.01