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Minnesota 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
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $47.86 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $19.95 / $33.11
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.67 / $39.81 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $234.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $109.65 / $165.96
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $46.77 / $69.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$120.23 / $169.82 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $89.13 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $37.15 / $60.26
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.83 / $165.96 / $316.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $154.88
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $69.18 / $109.65
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $29.51 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $120.23 / $407.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $85.11 / $407.38
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $36.31 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $123.03 / $218.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $87.10 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $37.15 / $64.57