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Texas 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
$53.43 / $69.34 / $108.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.19 / $561.90 / $985.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.59 / $505.06 / $716.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.07 / $761.66 / $1,277.47
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.44 / $1,054.22 / $1,522.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.52 / $641.04 / $740.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.28 / $786.29 / $1,295.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.54 / $710.99 / $1,101.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.15 / $582.44 / $832.76