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New York 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
$45.35 / $60.03 / $164.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $71.08 / $160.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.99 / $55.08 / $110.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.57 / $21.93 / $41.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $66.09 / $157.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.45 / $46.34 / $107.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.11 / $19.76 / $50.16
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.64 / $65.05 / $91.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.32 / $52.32 / $52.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $89.53 / $196.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.07 / $61.17 / $143.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.84 / $28.73 / $63.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $75.86 / $135.43
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $60.77 / $96.40
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.52 / $27.06 / $47.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.15 / $67.47 / $121.99
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.77 / $46.69 / $89.18
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.87 / $24.01 / $40.47
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.20 / $48.20 / $48.20
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.53 / $80.69 / $88.47
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.32 / $52.32 / $52.32
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $95.84 / $207.28
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.42 / $61.71 / $133.79
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.54 / $27.64 / $60.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.61 / $72.25 / $156.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.35 / $51.81 / $126.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.30 / $21.73 / $46.95
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.36 / $49.36 / $139.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.15 / $85.20 / $166.66
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.77 / $60.41 / $133.56
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.88 / $24.79 / $54.81