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Vermont rates for HCPCS 77331

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $67.61 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $50.12 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $19.95 / $25.12
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $257.04 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $61.66 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $26.30 / $60.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.55 / $190.55 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $288.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $60.26 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $26.92 / $51.29