go back

Nebraska rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.35 / $285.64 / $481.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$335.04 / $335.04 / $335.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$274.01 / $274.01 / $274.01
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$184.87 / $190.26 / $335.04