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Vermont 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
Professional
Modifier
Low / Median / High Price
$534.74 / $534.74 / $550.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.54 / $76.01 / $76.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$458.73 / $458.73 / $476.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.09 / $611.09 / $1,906.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.66 / $691.48 / $1,906.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.21 / $99.61 / $282.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$541.05 / $570.46 / $1,291.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.66 / $691.48 / $1,906.59
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.21 / $99.61 / $282.58
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$541.05 / $593.04 / $1,291.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.85 / $723.77 / $1,041.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.01 / $105.88 / $154.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$412.84 / $638.29 / $1,072.57