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Connecticut 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
$94.16 / $332.90 / $391.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.28 / $809.22 / $1,820.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.20 / $1,762.38 / $2,090.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.22 / $1,115.97 / $1,874.47
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.72 / $944.97 / $992.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.02 / $131.02 / $131.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.01 / $1,062.40 / $1,725.03