go back

New Hampshire 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
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $645.65 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,318.26 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,548.82 / $1,995.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $2,454.71