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Louisiana 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
$97.98 / $108.26 / $140.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.92 / $806.63 / $845.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.49 / $801.14 / $1,290.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.26 / $682.29 / $1,328.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.27 / $737.18 / $1,157.82