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New Hampshire rates for HCPCS 77331

Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician

Facilitymedian $158 · 10th–90th $72$1580%50%10th$158Professionalmedian $55 · 10th–90th $20$1350%5%10th90th$55$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $67.61 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $47.86 / $117.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $19.05 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $64.57 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.92 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $91.20 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $64.57 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $28.18 / $58.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $131.83 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $91.20 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $38.02 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $60.26 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $25.12 / $58.88
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88