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New York rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.94 / $83.77 / $213.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.38 / $68.38 / $68.38
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.38 / $68.38 / $68.38
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.51 / $64.51 / $181.92