go back

Colorado 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
$81.65 / $85.73 / $85.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.97 / $673.79 / $796.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.76 / $957.90 / $1,398.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.47 / $974.00 / $1,447.41
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.16 / $1,187.16 / $1,281.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.71 / $1,013.90 / $1,287.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.65 / $129.01 / $156.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.87 / $1,101.63 / $1,836.05