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Missouri 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
$73.48 / $115.73 / $190.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.27 / $621.78 / $796.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.12 / $713.04 / $1,313.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.39 / $963.32 / $1,282.22
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.13 / $376.93 / $376.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.26 / $863.29 / $3,769.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.34 / $877.75 / $2,216.98