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Alaska 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
$263.64 / $263.64 / $263.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.99 / $1,897.39 / $2,845.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.17 / $1,785.17 / $2,108.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.63 / $1,838.91 / $3,316.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.75 / $2,635.20 / $3,467.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.63 / $2,543.75 / $4,649.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.77 / $1,681.80 / $2,530.11