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Mississippi 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
$58.71 / $64.14 / $140.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.83 / $513.03 / $867.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.14 / $69.18 / $140.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$330.69 / $399.20 / $726.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.00 / $594.00 / $594.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.15 / $749.83 / $1,058.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.86 / $119.07 / $163.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$376.29 / $632.49 / $890.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.88 / $529.28 / $1,102.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.90 / $78.77 / $172.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.27 / $434.16 / $927.58