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Maine 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
Professional
Modifier
Low / Median / High Price
$746.60 / $821.71 / $821.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.61 / $830.14 / $1,309.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.46 / $1,159.07 / $1,495.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.12 / $903.76 / $1,695.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.60 / $821.71 / $1,042.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.91 / $975.17 / $1,335.61