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Virginia rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Facilitymedian $105 · 10th–90th $52$3630%20%10th90th$105Professionalmedian $79 · 10th–90th $60$1000%20%40%10th90th$79$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $104.71 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $79.43 / $87.10
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $85.11 / $107.15