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Maryland 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
$39.67 / $39.67 / $54.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.17 / $54.46 / $97.54