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Nationwide rates for HCPCS 78831

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.13 / $138.04 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $114.82 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,584.89

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