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Pennsylvania rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Facilitymedian $178 · 10th–90th $69$2690%20%10th90th$178$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $177.83 / $269.15
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $109.65 / $190.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $58.88