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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

Facilitymedian $69 · 10th–90th $58–$5250%20%10th90th$69Professionalmedian $617 · 10th–90th $437–$1,0000%10%20%10th90th$617$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $69.18 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $616.60 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $562.34 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $758.58 / $1,348.96
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,370.32 / $5,370.32
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $79.43 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $912.01 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $478.63
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $707.95 / $1,288.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $707.95 / $1,096.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $616.60