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Connecticut 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
$67.61 / $204.17 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $57.54 / $295.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $22.39 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $102.33 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $70.79 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $31.62 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $64.57 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $28.84 / $46.77
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $87.10
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $53.70 / $63.10
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $23.99 / $28.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $87.10 / $147.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $60.26 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $26.30 / $44.67