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Massachusetts 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
$67.54 / $67.54 / $82.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.28 / $618.51 / $809.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.32 / $199.13 / $408.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.38 / $970.16 / $2,987.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.76 / $1,025.58 / $2,121.64
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.95 / $761.70 / $1,195.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.19 / $1,433.62 / $2,375.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.02 / $131.02 / $131.02
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.13 / $199.13 / $408.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.78 / $1,070.23 / $4,322.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.78 / $1,036.06 / $2,037.99