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Tennessee rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.32 / $65.42 / $309.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.27 / $94.27 / $94.27
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.60 / $302.33 / $302.33