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Hawaii rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.78 / $70.02 / $82.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.85 / $73.22 / $85.43