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New York 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
$66.61 / $124.58 / $193.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.30 / $675.53 / $1,792.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.32 / $716.93 / $1,731.13
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.46 / $878.55 / $999.01
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.65 / $96.65 / $96.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.90 / $1,079.97 / $2,954.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.14 / $810.24 / $1,284.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.34 / $610.14 / $1,026.01
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.65 / $96.65 / $96.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.36 / $1,019.90 / $2,388.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $806.36 / $1,716.49
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.37 / $90.37 / $107.24
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.54 / $803.93 / $1,521.32