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Virginia rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.72 / $92.89 / $225.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.38 / $68.38 / $68.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.28 / $77.73 / $85.81
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.61 / $73.00 / $179.86