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Nebraska 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
$80.19 / $80.66 / $80.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.41 / $613.41 / $4,219.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.42 / $1,194.40 / $1,224.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$469.26 / $469.26 / $469.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.15 / $1,494.77 / $1,868.47
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$376.93 / $376.93 / $376.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.63 / $1,300.43 / $1,916.53
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$249.91 / $257.19 / $469.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.07 / $1,503.87 / $2,407.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.63 / $1,300.43 / $1,674.23