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Oklahoma 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
$67.67 / $67.67 / $67.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.67 / $598.07 / $673.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $650.65 / $893.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.10 / $625.16 / $1,052.92
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.13 / $376.93 / $376.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.88 / $732.11 / $1,441.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.54 / $697.25 / $1,351.22