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Wisconsin rates for HCPCS 77331

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

Facilitymedian $98 · 10th–90th $68$2290%20%10th90th$98Professionalmedian $63 · 10th–90th $19$2090%5%10%10th90th$63$20.0$50.0$100.0$200.0$500.0

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
$67.61 / $67.61 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $67.61 / $138.04
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
$12.88 / $19.95 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $97.72 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $69.18 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $28.18 / $102.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $141.25 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $173.78 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $123.03 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $52.48 / $100.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $151.36 / $181.97
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $107.15 / $128.82
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $44.67 / $53.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $138.04 / $407.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $95.50 / $407.38
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $40.74 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $162.18 / $288.40
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $112.20 / $204.17
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $48.98 / $83.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $154.88 / $295.12
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $288.40 / $288.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $316.23 / $407.38
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $229.09 / $407.38
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $89.13 / $407.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $398.11 / $489.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $151.36 / $257.04
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $63.10 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $123.03 / $338.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $128.82 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $33.88 / $79.43