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Colorado rates for HCPCS 78803

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $64.57 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $53.70 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $309.03 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $70.79 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.23 / $446.68 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $72.44 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $416.87 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $2,951.21 / $2,951.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $446.68 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $2,511.89 / $2,511.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $380.19
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $50.12 / $50.12
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $302.00 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $549.54 / $954.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $75.86 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $467.74 / $812.83