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Ohio rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.55 / $99.27 / $197.06
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.27 / $94.27 / $94.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.27 / $94.27 / $94.27