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Wyoming 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
$64.12 / $64.12 / $65.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.91 / $411.91 / $473.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.12 / $64.12 / $68.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.80 / $347.80 / $404.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.00 / $1,144.00 / $1,879.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$171.00 / $171.00 / $281.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$973.00 / $973.00 / $1,598.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.11 / $655.11 / $1,291.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.43 / $95.43 / $188.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$559.67 / $559.67 / $1,103.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.07 / $923.75 / $1,547.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.02 / $126.48 / $224.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$348.05 / $783.48 / $1,323.29