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Missouri rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $173.78 / $251.19
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.25 / $275.42 / $275.42