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Pennsylvania rates for HCPCS 77331

Spec Dosim Only Prescribed Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.34 / $57.67 / $146.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $63.35 / $337.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.06 / $43.97 / $213.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.89 / $19.38 / $35.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.71 / $44.49 / $51.33
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.79 / $100.86 / $116.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.35 / $72.22 / $100.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.43 / $28.64 / $33.57
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
$53.18 / $76.04 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.17 / $53.36 / $85.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.70 / $22.68 / $34.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $83.11 / $99.95
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.26 / $61.84 / $69.15
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.10 / $27.43 / $30.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $73.52 / $73.52
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.84 / $53.95 / $74.81
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.65 / $67.84 / $155.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.22 / $68.59 / $189.07
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.45 / $52.26 / $176.41
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.35 / $21.18 / $43.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.30 / $85.70 / $127.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.32 / $52.32 / $52.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $76.17 / $125.68
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.78 / $53.40 / $89.01
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.02 / $22.72 / $37.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.94 / $44.94 / $47.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.78 / $62.95 / $68.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.91 / $44.94 / $47.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.67 / $18.01 / $21.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $73.86 / $121.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.67 / $53.25 / $86.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.14 / $22.41 / $35.83