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Illinois rates for HCPCS 77789

Surface Applic Low Dose Rate Radionuclide Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.73 / $100.35 / $181.77
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.65 / $96.58 / $287.13
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00