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Kentucky 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
$73.34 / $81.48 / $98.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.67 / $592.98 / $746.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.27 / $534.85 / $727.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.15 / $128.63 / $839.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.65 / $96.65 / $96.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.59 / $1,120.84 / $2,954.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $599.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.80 / $779.72 / $974.78