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Wisconsin rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Facilitymedian $129 · 10th–90th $89–$3020%20%10th90th$129Professionalmedian $200 · 10th–90th $200–$2000%50%100%$200$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
$89.13 / $89.13 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $186.21 / $302.00
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $380.19 / $380.19
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53