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Idaho rates for HCPCS 78804

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.94 / $118.94 / $120.29
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,533.52 / $2,533.52 / $2,533.52