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California rates for HCPCS 77331

Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $51.29 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $72.44 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $54.95 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $21.88 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $91.20 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $64.57 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $28.84 / $58.88
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $218.78
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $67.61 / $147.91
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $30.90 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $56.23 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $25.70 / $53.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $81.28 / $109.65
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $53.70 / $72.44
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.60 / $26.92 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $63.10 / $109.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $30.90 / $51.29
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$288.40 / $288.40 / $288.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $537.03
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$407.38 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$407.38 / $407.38 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $33.11 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $81.28 / $165.96
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $54.95 / $114.82
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $25.70 / $53.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $151.36 / $151.36
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $63.10 / $63.10
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $91.20 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $83.18 / $162.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $58.88 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $23.99 / $50.12