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Tennessee 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
$71.58 / $71.58 / $133.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.27 / $595.45 / $796.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.70 / $851.51 / $1,277.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.13 / $1,046.86 / $1,534.10
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.13 / $408.88 / $408.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,322.46 / $4,322.46 / $5,333.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.16 / $907.54 / $1,708.01