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Illinois 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 / $77.62 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $67.61 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $53.70 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $19.95 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $33.88 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $100.00 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $87.10 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $60.26 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $25.70 / $38.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $114.82 / $346.74
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $74.13 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $28.18 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $87.10
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $57.54 / $60.26
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $22.91 / $25.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $120.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $56.23 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $23.99 / $33.88