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Arkansas 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
$108.75 / $108.75 / $163.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.70 / $824.98 / $824.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.54 / $661.32 / $847.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.88 / $986.60 / $1,044.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.05 / $756.45 / $1,197.74