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West Virginia 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
$65.95 / $65.95 / $65.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.27 / $434.35 / $580.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.47 / $65.95 / $142.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$341.32 / $374.89 / $508.02
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
$509.15 / $519.54 / $1,987.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.77 / $88.06 / $310.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$421.09 / $440.78 / $1,677.60
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$164.04 / $164.04 / $164.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.90 / $581.89 / $1,155.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.18 / $64.47 / $122.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.68 / $417.23 / $739.39