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Arkansas rates for HCPCS 78830

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.13 / $89.13 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $67.61 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $407.38 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $107.15 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $575.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $74.13 / $93.33
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $371.54 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $102.33 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $524.81 / $602.56
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $123.03 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $512.86 / $812.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $81.28 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $436.52 / $691.83