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Minnesota 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
$85.42 / $85.42 / $85.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.63 / $697.95 / $1,333.56
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.25 / $70.25 / $70.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.60 / $1,593.33 / $2,289.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$206.35 / $292.64 / $703.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.73 / $1,242.00 / $1,898.36
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.47 / $267.54 / $554.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.95 / $977.95 / $1,773.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.35 / $1,326.35 / $2,445.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.43 / $1,289.51 / $2,239.10