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North Dakota 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
$88.38 / $88.38 / $143.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.27 / $697.95 / $796.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.18 / $1,465.89 / $1,618.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.05 / $1,222.44 / $1,709.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.33 / $1,382.38 / $4,322.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.33 / $1,261.93 / $1,628.02