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Georgia 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
$71.61 / $360.38 / $370.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.80 / $610.16 / $1,346.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.94 / $806.19 / $1,518.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.67 / $1,196.38 / $1,959.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.13 / $1,073.09 / $6,835.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.85 / $102.13 / $211.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.06 / $721.20 / $2,205.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.76 / $885.78 / $1,607.97