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Arizona 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
$116.58 / $282.02 / $352.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.39 / $717.62 / $4,219.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.16 / $754.89 / $3,656.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.89 / $1,122.70 / $1,568.52
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.13 / $376.93 / $376.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.77 / $655.47 / $2,987.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.77 / $655.47 / $1,346.76