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Delaware 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
$64.57 / $74.13 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $79.43 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $398.11 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $562.34 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $74.13 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $478.63 / $758.58
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $83.18 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $501.19 / $977.24