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Idaho rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.72 / $156.72 / $156.72
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$233.85 / $233.85 / $233.85