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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
$104.71 / $338.84 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $616.60 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,698.24 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,122.02 / $2,511.89
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,000.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,737.80