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North Carolina rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.21 / $59.21 / $93.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.38 / $68.38 / $68.38
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.61 / $73.00 / $147.33
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.60 / $142.34 / $302.33