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Louisiana 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
$80.17 / $88.60 / $113.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.49 / $536.11 / $725.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.28 / $85.00 / $103.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$399.20 / $451.11 / $622.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $539.28 / $892.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.99 / $100.75 / $131.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$413.98 / $473.61 / $760.73
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.97 / $60.97 / $60.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $461.92 / $920.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.83 / $68.56 / $144.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.76 / $379.57 / $775.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.27 / $507.78 / $801.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.15 / $75.94 / $126.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.59 / $434.16 / $673.79