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Minnesota rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.59 / $61.59 / $61.59
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.54 / $51.54 / $51.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$149.91 / $212.61 / $511.46
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.05 / $194.38 / $402.73