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New Jersey 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
$69.34 / $69.34 / $359.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.30 / $667.06 / $792.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.75 / $877.59 / $1,477.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.20 / $889.20 / $889.20
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.01 / $716.48 / $1,074.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.49 / $827.61 / $1,458.57