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Delaware 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
$41.69 / $47.86 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $63.10 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $44.67 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $19.05 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $50.12 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $20.89 / $32.36
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $66.07 / $138.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $45.71 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $20.42 / $42.66