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Nebraska 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
$44.76 / $217.18 / $366.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.19 / $61.19 / $372.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.77 / $52.26 / $399.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.42 / $17.42 / $109.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.97 / $121.81 / $124.87
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.20 / $86.81 / $88.98
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.74 / $35.00 / $35.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$256.20 / $256.20 / $256.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $147.99 / $189.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.00 / $106.27 / $132.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.00 / $41.70 / $56.24
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$210.41 / $210.41 / $210.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $121.50 / $404.61
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.70 / $88.04 / $402.86
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.29 / $34.17 / $402.86
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.77 / $144.87 / $256.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.20 / $134.13 / $172.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.71 / $51.12 / $121.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.77 / $122.07 / $155.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.18 / $88.04 / $112.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.59 / $34.75 / $42.90