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Oklahoma rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.90 / $54.01 / $304.47
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.60 / $274.01 / $274.01