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Ohio 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
$81.56 / $116.65 / $274.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.17 / $598.07 / $1,650.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.64 / $732.38 / $1,143.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.78 / $533.89 / $768.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.46 / $902.79 / $1,519.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.55 / $863.40 / $1,447.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.45 / $568.15 / $875.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.29 / $761.72 / $1,395.40