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Delaware 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
$47.63 / $64.84 / $122.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.23 / $318.73 / $356.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.00 / $45.85 / $47.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.24 / $272.87 / $308.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.84 / $358.47 / $422.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.56 / $53.36 / $62.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.28 / $305.11 / $360.13
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.44 / $62.44 / $62.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.69 / $374.63 / $885.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.29 / $62.49 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$286.14 / $337.10 / $767.52