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South Carolina 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
$71.23 / $71.23 / $71.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.63 / $533.63 / $582.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $586.86 / $778.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.67 / $835.61 / $1,613.77
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.84 / $131.50 / $258.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.15 / $1,066.15 / $1,066.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $487.80 / $730.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.58 / $838.11 / $1,390.90