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Ohio 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
$64.70 / $90.57 / $218.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.64 / $500.12 / $849.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.28 / $73.54 / $141.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.94 / $422.35 / $712.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.50 / $82.07 / $116.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.26 / $494.52 / $791.94
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.40 / $78.22 / $123.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$337.88 / $416.89 / $670.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $349.00 / $532.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.52 / $618.53 / $1,042.61
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.28 / $91.99 / $155.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$346.81 / $522.75 / $891.17
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.52 / $593.00 / $1,001.70
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.28 / $95.78 / $173.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$348.56 / $501.01 / $851.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $407.73 / $590.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.44 / $513.54 / $964.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.23 / $84.20 / $154.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$322.20 / $437.24 / $777.49