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Utah rates for HCPCS 77789

Surface Applic Low Dose Rate Radionuclide Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.53 / $63.53 / $63.53
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$219.38 / $219.38 / $219.38