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West Virginia 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
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $107.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $46.77 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $19.50 / $32.36
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.22 / $52.48 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $151.36 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $109.65 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $52.48 / $91.20
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $100.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $17.78 / $31.62