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West Virginia 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
$48.48 / $53.32 / $53.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.73 / $345.21 / $393.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.06 / $48.54 / $107.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.87 / $301.16 / $339.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.28 / $57.28 / $57.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.32 / $412.51 / $1,580.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.46 / $65.44 / $253.39
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$315.86 / $347.36 / $1,350.18
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.03 / $101.03 / $101.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.94 / $333.41 / $811.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $49.81 / $116.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.05 / $268.69 / $523.85