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North Carolina 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
$60.98 / $60.98 / $162.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.26 / $422.79 / $725.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.75 / $64.18 / $185.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.29 / $364.04 / $622.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.80 / $109.81 / $141.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.03 / $164.06 / $203.83
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$645.52 / $917.33 / $1,153.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.76 / $76.76 / $76.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.90 / $877.79 / $1,318.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.77 / $126.40 / $198.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$463.29 / $738.64 / $1,118.59
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.42 / $107.79 / $181.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.97 / $712.97 / $712.97
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.79 / $107.79 / $107.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.70 / $1,260.70 / $1,260.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.25 / $617.39 / $1,286.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.20 / $93.76 / $197.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$403.45 / $547.12 / $1,090.13
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.18 / $160.18 / $326.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,964.79 / $3,582.00 / $3,582.00
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$426.62 / $532.35 / $532.35
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,538.10 / $3,049.65 / $3,049.65