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Pennsylvania rates for HCPCS 78831

Rp Loclzj Tum Spect 2 Area/Sep Acquisj Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.04 / $103.13 / $265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.62 / $643.27 / $801.51
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.86 / $629.76 / $1,145.09
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
$510.41 / $807.04 / $1,270.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.20 / $889.20 / $989.86
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.04 / $108.36 / $271.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.28 / $678.89 / $1,408.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.81 / $1,203.99 / $1,366.80
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.65 / $96.65 / $96.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.07 / $842.13 / $1,331.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.78 / $82.78 / $97.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.65 / $629.35 / $761.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.19 / $796.29 / $1,296.71