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Indiana 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
$77.93 / $77.93 / $131.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.17 / $588.91 / $626.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.27 / $659.47 / $910.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.54 / $587.71 / $737.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.59 / $858.85 / $1,348.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.30 / $769.26 / $1,248.51