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Idaho 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
$217.11 / $217.11 / $217.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.26 / $874.42 / $1,333.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.44 / $611.84 / $1,270.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.40 / $1,072.70 / $1,530.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $940.45
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,533.52 / $2,533.52 / $2,533.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.03 / $1,337.12 / $1,530.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.54 / $773.29 / $1,383.79