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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
$81.53 / $91.49 / $141.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.30 / $673.33 / $809.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.97 / $806.19 / $1,350.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.65 / $96.65 / $96.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.19 / $1,006.53 / $1,613.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.87 / $797.86 / $1,422.89